Food Permit Application and Plan Review Packet

Proposed Food Facility Operators:

The Fulton County Food Sanitation Ordinance, Section D.1.a., requires that any person desiring to operate a food service establishment, retail food store, or mobile food establishment must submit a written application for a permit and pay all applicable fees at least 10 business days prior to the proposed opening date.

Section D.7 requires that properly prepared plans be submitted to the Fulton County Health Department (FCHD) before a food service establishment is constructed or extensively remodeled, or when an existing structure is converted for use as a food establishment.

Prior to constructing or remodeling your facility, you must complete and submit the following applications (Food and Drink Permit Application and Plan Review Application), along with the appropriate attachments and fees, at least 10 business days prior to the proposed start of construction.

FCHD will review this information and offer conditional approval prior to operation or construction. Once the facility is ready to open, FCHD staff will conduct a pre-opening inspection to determine the degree of compliance with current food code requirements. Any issues identified during the pre-opening inspection must be corrected prior to the facility opening.

After these steps are completed, a permit will be issued for the facility. The annual permit fee for food facilities is based upon the risk category assigned to the establishment. Talk to our staff to determine if your facility will be Category I, II, or III. Note that all annual food and drink permits expire on December 31st.

If you have any questions on the application process or forms, please contact us at (309) 647-1134, Ext. 230.

Best Wishes,
Fulton County Health Department

Application for Food & Drink Permit

Hours of Operation

Risk Category

In order to determine risk category, please check all that apply.

Plan Review Fee: $100.00
Permit Fee: Category I $300.00   Category II $200.00   Category III $150.00
Permit fees are prorated for facilities opening after June 30.

By signing this application, I affirm that all information is accurate to the best of my knowledge and belief. A representative of the Fulton County Health Department may inspect the facility at any reasonable time.

For Office Use Only

Food & Drink Establishment Plan Review Application

Please enclose the following documents:

Authorities and Submission Dates

Note: All required forms, documents, and fees must be received at least 10 business days prior to your planned opening or remodeling date.

A. FINISH SCHEDULE

Indicate which materials (e.g., quarry tile, stainless steel, 4” plastic coved molding, etc.) will be used in the following areas. All walls, floors, ceilings, and equipment should be smooth and easily cleanable. Surfaces must be free of unnecessary holes, cracks, crevices, and projections.

Kitchen

Bar

Food Storage

Other Storage

Toilet Rooms

Dressing Rooms

Garbage & Refuse Storage

Mop Service Basin Area

Warewashing Area

Walk-in Refrigerators and Freezers

B. INSECT AND RODENT CONTROL

C. GARBAGE AND REFUSE

Inside

Outside

D. PLUMBING CONNECTIONS

Note: All plumbing work must be done by a licensed plumber.

TRAP: A fitting or device which provides a liquid seal to prevent the emission of sewer gases without materially affecting the flow of sewage or waste water through it. An integral trap is one that is built directly into the fixture, e.g. a toilet fixture. A P-trap is a fixture trap that provides a liquid seal in the shape of the letter P. Full S-traps are prohibited.

E. WATER SUPPLY

F. LAUNDRY FACILITIES AND VENTILATION

Complete the following for all exhaust hoods.

Use the fields below for each exhaust hood. Add additional hood information as needed.

G. SINKS

H. DISHWASHING FACILITIES

If using a dishwasher, what type of sanitization is used?

I. HANDWASHING/TOILET FACILITIES

NOTE: If restrooms in an existing facility are remodeled, they must be made compliant with the Americans with Disabilities Act requirements for handicapped accessibility.

J. LIGHTING

K. VOMIT AND DIARRHEA CLEANUP

2. FOOD PREPARATION INFORMATION

A. FOOD SUPPLIES

B. COOKING

C. HOT/COLD HOLDING

D. COOLING/REHEATING AND STORAGE

E. PRODUCE WASHING

F. CONSUMER ADVISORY

Certification

I hereby certify that all of the above information is correct, and I fully understand that any deviation from the above without prior permission from the Health Authority may nullify final approval.

NOTE: Approval of these plans and specifications by the Health Authority does not indicate compliance with any other code, law or regulation that may be required, whether federal, state or local. Further, it does not constitute endorsement or acceptance of the completed establishment (structure or equipment). A pre-opening inspection of the establishment with equipment in place and operational will be necessary to determine if it complies with the local and state laws governing food service establishments.