Legal Authority: Chapter 381.0072, (3)(a), Florida Statutes and Rule 64E-11, Florida Administrative Code.
 

VerificationAll order information is subject to verification by Broward County Health Department no later than the end of the next business day. You will be notified by the health department if discrepancies are noted.

Contact InformationThe best way to contact the Broward County Health Department is to call 954.467.4837 or 954.847.3599 week days between 8:00AM and 5:00PM, or send an email to chd06ehe@doh.state.fl.us.

Service FeeCustomers of this site will be charged $6.00 or 4%, whichever is greater by VitalChek.

The undersigned owner/owner's representative, herby agrees to operate the food establishment described in the application in accordance with the requirements of Chapter 381, Florida Statutes, and Chapter 64E-11, Florida Administrative Code. The information contained in this application, which serves as the basis for licensure, is true and correct. I understand that any misrepresentation of the facts in this application, or failure to comply with sanitary standards, is grounds for denial or revocation of the sanitation certificate.
 
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Permit Information
Operating Permit Number:   -  -  Required
Name of Facility:   Required
Address:   Required
City:   Required
State:   Required
ZIP Code:   Required
Facility Type:   Required
Food Service Fee:   Required
Past Due Amount:  N/A
NOTE: Permits will not be mailed until outstanding fees have been paid.
Owner's Information
Name:   Required
Address:   Required
City:   Required
State:   Required
ZIP Code:   Required
Owner's Phone:   Required
Business Phone:   Required
Person to Contact: 
Email Address:   Required

For information regarding multiple permit renewals click here
 
 
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