Clearlake Petro LLC in Cocoa

Comments: The Minimum Construction Standards checklist has been used in accordance with 500.12(2)(a) Florida Statutes by the food safety inspector to determine compliance before obtaining a food permit. Employee Health Guidelines and reporting agreement provided. The food establishment is operating without a valid food permit. An application for a food permit has been submitted. The Food Establishment shall remit payment of the appropriate fee within 10 days. Electronic online payment by credit card or e-check is available at https://foodpermit.fdacs.gov. Payment by check or money order is also accepted but must be made payable to FDACS and remitted to Florida Department of Agriculture and Consumer Services, PO Box 6720, Tallahassee, FL 32314-6720. Please note that payment by check or money order may delay the processing of your food permit application. Contact the Business Center by email at [email protected] or by calling 850-245-5520 for further assistance. Septic System: no change in current food business operations. No visual indication of septic system failure. ACKNOWLEDGMENT I acknowledge receipt of a copy of this document, and I further acknowledge that I have verified the location and mailing addresses on the first page of this document are correct, or I have written the correct information on the first page of this document. (Signature of FDACS Representative) WILLIAM SAYLOR, SANITATION AND SAFETY SPECIALIST (Signature of Representative) PRIYA LALWANI, OWNER Print Name and Title FDACS 14205 Rev. 07/13 Page 3 of 3 FDACS 14205 Rev. 07/13 Page 1 of 1