Delivery of Inspection Reports Pursuant to A.R.S. § 41-1009, the Department may enter your establishment to conduct inspections. You have the right to receive a
copy of the Department's inspection report at the time of the inspection, within thirty (30) days after the inspection, or as otherwise provided by federal law. I agree
that the Department may send me a copy of its inspection report by e-mail or by facsimile transmission to the e-mail or fax number provided under the Business
Ownership Information provided above. It is the responsibility of the permit holder to update the Department if there is a change in contact information.
I hereby certify that the above information is correct, agree to comply with the Maricopa County Environmental Health Code, agree to allow the regulatory authority
access to the establishment as specified under § 8-402.11 and to the records specified under §§ 3-203.12 and 5-205.13 and Subparagraph 8-201.14(D)(6), and I fully
understand that any deviation from the above without prior permission from the Maricopa County Environmental Services Department may nullify final approval.
Disclaimer
Information entered on this form will be retained by Maricopa Environmental Services Department and is a record as defined by Arizona law.
This form will be provided without redaction in response to a public record request unless any of the information is exempt from release under Arizona law.
By checking the check box and typing your name you have digitally signed this application.
Signature:
Plan Review Fees (office use only)
Application Type Fee Expedite # of Locations
Micro Market Reference Plan Review $270.00 $540.00
Micro Market Processing Fee $20.00/Location
Micro Market Permit Fee (annual) $155/Location
Date:
I agree the application is true and correct.
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No persons shall commence construction unless the required plans have been approved. It shall be the full responsibility of said person that construction is
done in conformance with the approved plans and specifications.
The approval of plans and specifications shall lapse and become invalid one year from the date of approval unless a substantial portion of the work described in the
plans and specifications has commenced by such anniversary date. An approval of plans and specifications can be renewed for one year if an application for renewal is
submitted within 180 days prior to expiration and a fee equal to one-half (1/2) of the flat fee or initial plan review fee is paid. The approval will be effective for one year
from the date of expiration.
Should it be necessary or desirable to make any material change in the approved plans and specifications, revised plans and specifications shall be submitted to the
department for review, and approval shall be obtained before the work affected by the change is undertaken. Once submitted, the plans will be review for compliance
with the Maricopa County Environmental Health code (MCEHC). A response letter will be drafted and delivered to the applicant using the method indicated on the
application. The letter will indicate items of noncompliance that need to be addressed during the construction of the establishment
Approval of these plans and specifications by this Regulatory Authority does not indicate compliance with any other code, law or regulation that may be required--
federal, state, or local. It further does not constitute endorsement or acceptance of the completed establishment (structure or equipment). A pre-operational inspection
of the establishment with equipment in place and operating will be necessary to determine if it complies with the Maricopa County Environmental Health Code
governing establishments.
Approval of a permit by this Department does not indicate compliance with any other code, law, or regulation that may be required - federal, state, or local.
A "grandfather" clause or provision is not provided for in Maricopa County Environmental Health Code. All establishments under new ownership, newly built, or
remodeled shall meet current construction, equipment, facility, and operational regulations as adopted and provided for in the Maricopa County Environmental Health
Code, guidelines, and procedures, and policy statements. A permit shall not be issued to a facility for which a permit is required, and shall not be allowed to operate until
the applicant demonstrates to the Department full compliance with applicable provisions of the Maricopa County Environmental Health Code. Any construction,
alteration, or addition shall be made in accordance with specifications approved by the Department. The owner, operator, or authorized agent shall certify in writing
that the establishment will comply with these regulations. On-site inspections of the facilities and premises with equipment in place and operating will be necessary to
determine compliance with the Maricopa County Environmental Health Code.
Arizona law, A.R.S. § 11-1605(I), allows Maricopa County Environmental Services Department (MCESD) and the applicant for a license to mutually agree to extend the plan
review time frame by 50 percent of the substantive time frame and overall time frame. MCESD will agree to any applicant's request for an 50 percent extension of the substantive
review time frame and overall time frame when box is checked and signed below.
Signature: Date:
I agree to the 50% extension.
