Maricopa County Animal Care and Control Licensing Section

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Food Establishment Permit Application - Permanent/Fixed locations only (Web Form)

This form has been modified since it was saved. Please review all fields before submitting.

Page 1 - Resources and Application Types

2. 

4. Resources
5. Things to Know

10. 

17. 

19. 

21. For Consumer Advisory,
    please review guidance:
22. For Construction Guide, please review guidance:
23. For demolition or removing/altering a load bearing wall:

Page 2 - Application Details

2. Brief Description of Business Plan*

   Provide an overview of your business plan so that we can better assist you through the permit process.

4. Brief Description of Establishment*

   Describe your establishment and if applicable, include any information about sharing a kitchen.

6. Brief Description of Construction or Remodel*

   Describe any changes you are making to the establishment.

8. Customer Seating - How many seats will your establishment have?*
10. Construction/Installation Dates*

    Construction/Installation Dates Start Date

    —

    Construction/Installation Dates End Date

12. Permit #(s)

    If remodel/minor review is for a currently permitted establishment under your ownership, please list affected permit #s for reference.

14. Ownership Change Date*

    Please be advised that the first inspection will be conducted once the ownership change has taken place. If you are interested in obtaining a detailed list of items requiring correction prior to taking ownership of an establishment, please submit an Inspection Upon Request Form (link provided below).

15. Date facility will be open and operating*

    Date facility will be open and operating

17. Inspection Upon Request
18. 30 Day Transition Application

    30 Day Transition Application

    Complete this application if you are purchasing a currently permitted food business and want to remain in business while the Department reviews your Food Establishment Application.

27. Menu(s) (Upload for Application Types - New Business and Construction / Review of Plans)*

    Upload Requirements: PDF and JPG only (combine multiple files into one PDF or JPG).

29. Plans (Upload for Application Type - Construction / Review of Plans only)

    Upload Requirements: Provide plans for all projects involving construction/review | Plans are to be full size, printed to scale as indicated on plan/drawing, and legible | Plans are to be a minimum of 8.5" x 11", | Plans contain all lighting, ventilation, plumbing layout, and locations of sinks and equipment | Plans show restrooms, mop basin, alleys, streets, vacant lots, adjacent buildings, and outside equipment (dumpsters, well, septic, etc.) | All equipment must be clearly labeled.

31. Equipment Cut Sheets (Upload for Application Type - Construction / Review of Plans only)

    Upload Requirements: Provide equipment cut sheets for all projects involving construction/review.

33. Plumbing/Finish Schedule (Upload for Application Type - Construction / Review of Plans only)

    Upload Requirements: Provide the plumbing and finish schedule on a separate sheet here or complete the plumbing/finish schedule on page 5.

35. Additional Supporting Documentation

    Please provide any additional supporting documentation.

37. Instructions for Uploading Files to the Cloud Drive

    Instructions

    Please follow instructions to ensure application is processed and reviewed without delay.

38. Environmental Services Cloud Drive

    Cloud Drive

    Refer to the instructions to the left for the username and password to log in to the Cloud Drive.

40. Instructions for Uploading Files to the Cloud Drive

    Instructions

    Please follow instructions to ensure application is processed and reviewed without delay.

41. Environmental Services Cloud Drive

    Cloud Drive

    Refer to the instructions to the left for the username and password to log in to the Cloud Drive.

45. Application Fee Reference

    

48. Annual Permit Fee Schedule (These are not application fees)

    Fee Schedule

    Note: Classification of the food operation will be determined by the Environmental Services Department based on the menu and operations after this application is submitted.

Page 3 - Contact Information

3. Name of Your Business*

   Note: If you are using a shared kitchen, put the name of your business, not the name of the shared space you are using.

5. Address*
7. City*
8. State*
9. Zip*
11. Phone*
20. If Other, please describe:
22. Owner / Corporation / Entity*
24. List the state where your entity is registered*
26. Address*
28. City*
29. State*
30. Zip Code*
32. Phone Number*
33. Fax Number
35. Email Address*
41. Owner Name
43. Address
45. City
46. State
47. Zip Code
49. Phone
50. Fax
52. Email Address
57. Inspection Contact Name*
59. Address
61. City
62. State
63. Zip Code
65. Phone*
66. Email Address*
72. Contractor Name
74. Phone
75. Email
81. Architect Name
83. Phone
84. Email

Page 4 - Permit Questionnaire

3. For Dog Friendly Patio, please refer to Regulation 4:
5. Dog Friendly Patio Permit
8. For Protection of Outer Openings, please review guidance:
12. Total Square Feet of Facility*
13. Number of floors on which operations are conducted?
20. Hours of Operation

Page 5 - Plumbing/ Finish Schedule

2. Type of Water Service
3. Name of Water Provider
5. Type of Sewer Provided
6. Name of Sewer Provider
8. Water Heater Capacity*
9. Recovery Rate

   Note: The recovery rate should be noted on the side of the water heater.

13. Examples of Drain Types (Provided for reference for plumbing connections; may not be applicable if you selected New Ownership as your application type on Page 1)

    

31. Kitchen/Bar/Food Storage Floors

    (tile, concrete, laminate, etc.)

32. Kitchen/Bar/Food Storage Walls

    (FRP, Tile, drywall, etc.)

33. Kitchen/Bar/Food Storage Ceiling

    (ACT, VCT, drywall, etc.)

34. Kitchen/Bar/Food Storage Covebase
36. Restroom Floors

    (tile, concrete, laminate, etc.)

37. Restroom Walls
38. Restroom Ceiling

    (ACT, VCT, drywall, etc.)

39. Restroom Cove Base
41. Mop Sink/Can Wash Area Floors
42. Mop Sink/Can Wash Area Walls

    (FRP, Tile, drywall, etc.)

43. Mop Sink/Can Wash Area Ceiling

    (ACT, VCT, drywall, etc.)

44. Mop Sink/Can Wash Area Cove Base
46. Walk-in Freezer Floors
47. Walk-in Freezer Walls
48. Walk-in Freezer Ceiling
49. Walk-in Freezer Cove Base
51. Walk-in Cooler Floors
52. Walk-in Cooler Walls
53. Walk-in Cooler Ceiling
54. Walk-in Cooler Cove Base
56. Area under Vent Hood(s) Floors
57. Area under Vent Hood(s) Walls
58. Area under Vent Hood(s) Cove Base
60. Outside Dumpster/Grease Floors
61. Outside Dumpster/Grease Walls
62. Outside Dumpster/Grease Ceiling
63. Outside Dumpster/ Grease Cove Base
65. Ware Washing Area Floors
66. Ware Washing Area Walls
67. Ware Washing Area Ceiling

    (ACT, VCT, drywall, etc.)

68. Ware Washing Area Cove Base

Page 6 - Review Notice & Disclosures

3. ARS § 11-1604. Prohibited acts by county and employees; enforcement; notice

Page 7 - Review and Sign

11. Electronic Signature*
14. 1. Receive an email copy of this form.
15. Email address

    This field is not part of the form submission.

* indicates a required field

Maricopa County Animal Care and Control Licensing Section

Source: https://www.esd.maricopa.gov/FormCenter/Environmental-Services-16/Food-Establishment-Permit-Application-Pe-307

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