Fillable Food Establishment Plan Review Application (City of Stafford, TX)

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Food Establishment Plan Review Application (City of Stafford, TX)

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The Food Establishment Plan Review Application (City of Stafford, TX) form is 1 page long and contains:

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  • 9 check-boxes
  • 46 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Stafford, TX

BROWSE CITY OF STAFFORD, TX (TX) FORMS

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CITY OF STAFFORD – CODE DIVISION
2702 South Main Street
Stafford, Texas 77477-5599
PHONE: (281) 261-3950
FAX: (281) 499-9744
EMAIL: consumerhealth@staffordtx.gov
FOOD ESTABLISHMENT PERMIT APPLICATION
Exp. Date: __________ Permit: __________
Check All that Apply: Food Establishment Mobile Vendor Retail Store Bar/Ice House School
New Establishment Renewal Change of Ownership Other: _______________________
Establishment Name:
Hours of Operation
DBA:
Address/City/Zip:
Mailing Address/City/Zip Code: (if different than above)
Phone:
Email:
Manager:
Email:
Corporate Contact Name:
Corporate Address/City/Zip:
Corporate Phone:
Corporate Email:
Mobile Vendor Truck:
License Plate # and State
Mobile Vendor Operation Address:
Property Owner:
Property Owner Address/City/Zip:
Property Owner Phone:
Property Owner Email:
Emergency Contact Name:
Title:
Contact #:
NOTE: The owner of the above business is responsible for knowing and adhering to all laws applicable to this operation. If this operation
fails to meet the requirements of those laws, enforcement up to and including closing of the operation and loss of the permit can occur.
Signature of Applicant:
Printed Name:
Date:
FEES DUE UPON APPROVAL
Food Establishment Annual Fee determined by sq. footage
(entire facility minus area that food or drink is not allowed, i.e.,
dance floor, gym, etc.)
Total Square footage:
Inspections will be conducted on Wednesday, 8A-10A at the
Stafford Police department.
Pre-Opening Inspection
$150.00
Annual Fee: < 5,000 sq. ft.
$300.00
Annual Fee: 5,000 sq. ft. - 10,000 sq. ft.
$500.00
Annual Fee: > 10,000 sq. ft.
$700.00
Re-Inspection
$150.00
Accepted by:
Mobile Vendor Initial Inspection
$50.00
Approved by:
Mobile Vendor Permit / Renewal
$200.00
Receipt Number:
Late Fee
$50.00
Date:
TOTAL DUE
To make a secure payment online by credit card, please visit: https://certifiedpayments.net/index.aspx?BureauCode=4230396
Email completed application & payment receipt to: ar@staffordTX.gov & consumerhealth@staffordTX.gov
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Food Establishment Plan Review Application (City of Stafford, TX)

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Completed 26 July 2020

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