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Retail Food Operation Permit Application

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Utilize this application to formally request a Retail Food Operation Permit. Following the submission of your application, kindly proceed to make the necessary payment at: https://www.municipalonlinepayments.com/beevilletx. For any inquiries or assistance, please contact our Health Inspector, Crystal Longoria, at 361-358-4641 Ext. 240. Your cooperation is greatly appreciated. Thank you!

Business Information:

*Name Under Which Business Is Conducted:

*Business Owner Name (s):

*Drivers License Number:

*Date of Birth:

*Physical Location: (Address, City and Zip)

*Mailing Address: (Address, City and Zip)

*Phone Number At Site:

*Other phone number:

*Fax Number:

*E-Mail Address:

Type of Permit for Retail Food Operation

Food Service Establishment

Retail Food Store

Institutional Food Service

School/Childcare

Roadside Food Vendor

Amended Application

Mobile Unit

Change of Ownership - Name of Previous Owner:

Change of Location - Effective Date of Change:

Change of Name - Previous Name:

Other:

Retail Food Operation Information:

*Proposed Open Date:

*Days and Hours of Operation:

*List Type of Foods to Be Sold:

*Number of Employee (Include Management, Family and Owners):

*Number of Employee's that have a Food Handler's Cards:

*Number of Employee's that have a Food Manager's Certification:

*Print Name:

*Date:

Signature of Owner, Partner, President, Date or Corporation Designee (cannot be manager):

Confirm

Cancel

Interim Director of Developmental Services

Sonya Soto

Work: 361-358-4641 ext:290

sonya.soto@beevilletx.org

Health Inspector

Crystal Longoria

Work: 361-358-4641 ext:240

crystal.longoria@beevilletx.org

Permit Tech

Joie Maldonado

Work: 361-358-4641 ext:243

joie.maldonado@beevilletx.org

General Information

Staff Directory

developmentservices@beevilletx.org

Phone Numbers

361-358-4641

Emergencies: Dial 911

Location

400 N. Washington

Room 106

Beeville,

78102

Get Directions

Office Hours

Monday - Friday 8 - 5

Retail Food Operation Permit Application

Address

Department Contacts