Fillable Mobile Food Unit Permit Application (City of Universal City)

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Mobile Food Unit Permit Application (City of Universal City)

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BROWSE CITY OF UNIVERSAL CITY (TX) FORMS

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CITY OF UNIVERSAL CITY
2150 Universal City Boulevard
Universal City TX 78148
210-659-0333
Mobile Food Unit Permit Application
NOTE: This application must be filled out completely and turned in with a
copy of proof of Texas sales and use tax permit,
copy of current and
valid identification card for owner and and proof of insurance for the vending unit.
INCOMPLETE
APPLICATIONS WILL NOT BE ACCEPTED. Application to operate does not guarantee that approval will be granted.
Approval is
based upon the establishment or mobile food unit's compliance with applicable requirements (see back of
page). Application fee is non-refundable and non-transferable.
Annual Mobile Food Permit
Phone:
Phone:
Unit Name and Description:
Mobile Vendor Owner Name:
Owner Address:
State:
Zip:
Email
Vehicle
Make: Model: Year:
Color: License Plate #: State: VIN #:
Additional Requirements
Proof of sales tax and use permit.
Proof of Mobile Unit liability insurance of not less than $50,000 per person and $250,000 per occurrence.
Acknowledgment: By signing this form the applicant acknowledges that all of the information contained in this
application is true and correct to the best of the applicant's knowledge and belief. Applicant acknowledges that the permit
applied for shall be subject to all provisions of the ordinances of the City of Universal City, and shall be subject to all
provisions adopted under the statutes of the 2015 Texas Food Establishment Rules (TFER) governing Mobile Food
Units. The applicant acknowledges that if any of the information contained in this application is incorrect, or if
the Mobile
Food Unit listed on this application violates the ordinances and provisions governing Mobile Food Units, that the Health
Official may revoke an approved application.
Owner/Responsible Party Signature Printed Name Date
Annual Late Night Mobile Food Permit
* Late Night Mobile Vendor Permit applicants: Attach a letter of permission from the UC
licensed tavern, bar, sports bar, or cocktail lounge to o
perate on the establishment’s parking lot
and to access the facility’s restrooms while in operation.
Permit Fees:
Mobile Food Vendor Fee ........................................$ 120.00 annually
$ 3.50 per employee
Total...................................................................... $ _______________
The City of Universal City grants the exclusive privilege of selling any non-alcoholic and food items in Universal City Park
and Red Horse Park to youth sport groups on game days. There are no exceptions granted to this policy. Thank you for
your understanding.
click to sign
signature
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02/04/2016
The following checklist provides a list of requirements (per Texas Food Establishment Rules or TFER) necessary for the
approval of a Mobile Food Unit operating within the jurisdiction of the City of Universal City. Mobile food establishment
equipment and criteria may vary depending on the type of operation. For Fire Marshal requirements, please contact
firemarshal@uctx.gov or (210) 619-0788.
YES
NO
N/A
1
Liquid Waste Retention Tank provided and Capacity at least 15% larger than the potable water storage tank,
permanently installed, sloped to drain and labeled “wastewater”.
2
Potable Water from an Approved Source (If obtaining water from a public water system, no testing is
required/if obtaining from PRIVATE water supply, compliance with Subchapter J, regarding private water
supply testing, required)
3
Hot and Cold running water under pressure provided to all sinks.
4
Handwash Sink provided, conveniently located and accessible.
5
Soap, paper towels, detergent and sanitizing chemicals provided.
6
Three compartment sink provided. Large enough to clean largest equipment / utensil.
7
Equipment for hot holding and cold holding, adequate to maintain Time / Temperature Control for Safety
(TCS) foods at required temperatures.
8
Food products obtained from an Approved Source.
9
A Servicing Area or Commissary provided for cleaning, supplying, loading of water and discharge of sewage.
10
A Certified Food Manager and ANSI accredited Food Handlers employed when TCS foods prepared.
11
Central preparation or storage facility licensed and operated according to Texas Food Establishment Rules
(When Required). Most recent inspection available for review.
12
Single Service articles provided and used.
13
Potable water tank provided, labeled “potable water”, and installed sloped to drain.
14
Potable water inlet equipped with a hose connection of a size or type that prevents its use for any other
purpose, is labeled “potable water”, and provided with a ¾-inch or less inlet connection.
15
Potable water distribution pipes or tubing constructed and installed in accordance with public health and
plumbing standards.
16
Liquid waste servicing connection is different size than the water connection. Liquid waste connection
labeled.
17
Effective Control Measures used for insects, rodents and environmental contaminants. Installed screening at
least 16 mesh to the inch.
18
Mobile Food establishment constructed of corrosion resistant, durable materials.
19
Mobile food establishment has easily cleanable, non-absorbent floors, walls and ceilings.
20
Counters and tables designed for durability and are easily cleanable.
21
Equipment installed so that it is easily cleanable and is in clean, sound condition.
22
Facilities are provided for solid waste storage that is easily cleanable and covered.
23
Mobile unit readily moveable.
24
Designated locations for employees to eat, drink, use tobacco, and store personal items.
25
Toilet rooms conveniently located and accessible to employees during all hours of operation.
MOBILE FOOD UNIT INSPECTION CHECKLIST
CITY OF UNIVERSAL CITY
2150 Universal City Boulevard
Universal City TX 78148
210-659-0333
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Mobile Food Unit Permit Application (City of Universal City)

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Completed 16 July 2020

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