06-1599 STATE OF FLORIDA FlLeD DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ; DIVISION OF HOTELS AND RESTAURANTS 1 . DEPARTMENT OF BUSINESS AND 700b HAY -S All: 38 PROFESSIONAL REGULATION ; oe Petitioner, * GEVISIOR OF ms | "on oon" ' License No. 9900000 C stChs) JERSEY MIKE'S SUBS License Type 2051 Respondent. Case No. 2006016373 ADMINISTRATIVE COMPLAINT : The DEPARTMENT.OF BUSINESS AND PROFESSIONAL REGULATION, DIVISION OF HOTELS AND RESTAURANTS, (Petitioner), files this Administrative Complaint against JERSEY MIKE'S SUBS, ("Respondent"), and says: 1. Petitioner is the state agency charged with regulating the operation of public lodging establishments and public food service establishments, pursuant to Section 20.165 and Chapter 509, Florida Statutes. 2. Respondent is, and has been at all times material hereto, licensed by or subject to the jurisdiction of the Division of Hotels and Restaurants. The respondent's business address of record Is 5441 N FEDERAL HWY, FORT LAUDERDALE, FLORIDA 33308.The mailing address of record is JERSEY MIKE'S SUBS, at 5441 N FEDERAL HWY, FORT LAUDERDALE, FLORIDA 33308. 3. Inspection of this establishment conducted pursuant to Sec. 509,032, Florida Statutes, revealed violations of the provisions of Chapter 509, Florida Statutes, and / or the rules Promulgated thereto governing operation of the establishment. The violation(s) found and applicable law are described in Exhibit “A” attached hereto and incorporated herein by reference. Inspection documents are attached as Exhibit "B", Incorporated herein by reference. WHEREFORE, Petitioner respectfully requests entry of an Order imposing one or more of the following penalties: administrative fine not to exceed $1,000 per offense; mandatory attendance at Respondent's expense at an educational program sponsored by the Department's Hospitality Education Program; . suspension, revocation, or refusal of a license issued pursuant to this Chapter, and/or any other relief authorized by Chapter 509, Florida Statutes, or th 4 PON Aton % en Buck, District Manager By delegation of the Director, or designee Division of Hotels & Restaurants Department of Business & Professional Regulation COUNSEL FOR THE DEPARTMENT: Charles F. Tunnicliff, Lead Attorney Florida Bar No, 0153831 . Department of Business & Professional Regulation . 1940 North Monroe Street Tallahassee, Florida 32399-1007 CERTIFICATE OF SERVICE BY CERTIFIED U.S. MAIL, ARTICLE NUMBER: ! HEREBY CERTIFY that a true and correct copy of the foregoing ADMINISTRATIVE GOMPLAINT has been 06. hand served by me on this_"__ day of , 2006 Received by: Inspector's Signature . Operator's Signature Title Title Case Number: 20060165373 Form revised 03.06.06 * License Typa: 2054 . District Number: 02. License Number: 8800000 weave Te tn SUERSEY MIKE’S SUBS Esxtibit A License Number: NO LIC - : Lieinse Type: 2051 NON-LICENSED FOOD SERVICE TO WAY -S A I 38 Cae Number: 2006016373 DIVISION OF FC” as cited herein references specific provisions of the Food Code, Recommendatidh Fi tates Puttlic Health Service, Food and Drug Administration, incorporated by Chapter 61C, Flori i i ie ive Cote. "NFPA" as cited herein references specific provisions of the National Fire Protection Association Life Saiety Code, incorporated by reference at Chapter 4A-3, “Fire Prevention, General Provisions", Florida Acninistrative Code, and 61C-1.004(5), Florida Administrative Code, ““* denotes a critical violation, It fsalleged that on March 9, 2006 the licensee was in violation of Florida Statute 509(FS) and/or the Rules of the Division of Hotels and Restaurants, Florida Administrative Code (FAC), in the following particulars. Copy(s) of the report(s) for the above referenced inspection(s) are attached hereto and incorporated by reference as Exhibit B. * 1,50-05-1 61C-1.008(6) FAC:: (6) ALICENSE RENEWAL FILED WITH THE DIVISION MORE THAN 30 DAYS BUT NO MORE THAN 60 DAYS AFTER THE EXPIRATION DATE SHALL BE ACCOMPANIED BY A DELINQUENCY FEE OF $100 IN ADDITION TO THE RENEWAL FEE AND ANY OTHER FEES REQUIRED BY LAW OR RULE. : OBSERVED LICENSE FOR 2005 & 2006 DELINQUENT-$312.00 FOR 2005- $312.00 FOR 2006, Case Number: 2006016373 Form revised 03.06.06 License Type: 2051. . District Number: 02 “License Number: 9900000 toe . Uh a Shegconttrmth iE REEY MIKE'S SUBS EXHIEIT B CES State of Florida oil BR 3 Department of Business and Professional endioke U Division of Hotels and Restaurants www. hospitalityeducation.org@idh HAY -5 A Il: 38 CALL BACK/RE-INSPECTION(RERORT EA page__\. of \ Reo ROE MUM BERE: Fie Number Suffix lb | 21016 NOTICE TO SHOW CAUSE You will be issued 2 Notice to Show Cause why sanctions should not be assessed ageinst your license, A hearing will be held at a.time and.place to he dasignated by tha director, SERS % M bs Business City: A ( 2 pie bal ah ER RTRE LTT ere Day Year REGEN County ay ee Ue Mont 0 in | Ctomplied CoHesring requested JaNot complied J Out of businass WARNING OF DIRECT NOTICE: Failure to bein compliance with this notice at any future inspection may result ina direct Native to | Show Cause, War ning CO Pre-confannce CPre-hearin, Odn Stiputston Oon HearingOrder Pink — Owner Vane: Py d we Held ings ELS oe Business Address: SY4/ AVA ’ Fen Bae ie OiTime extented date: tine, NEEL \\ Cense “tee. 22.06 105. ZOm Adm metratwe Compl any —2007 0LWIWF NO Comaliet ~ Comp|ieD A ie i “SPNATURE LL. peer } = VESTABISHME TELEFON z Te OFFICE TBLEPHONE sept patente Bo: el eet Bod 19 ioe Re] DS se oes 1 0 ‘A OBPRiForm HR 5022-005 MyFlorida.com 2002 February 09 —] —~, BES NAME (PLEASE PRIN) fi TH “ALCS E (PL| ASE PRINT) . 2 Ze pre (ChE hneee| LS LEGAL NOTICE FooD SERVICE INSPECTIONSREPORT ca iN perarTHet EB PUShs ESS AND PROFESSIONAL REGULATION i Division id Restaurants SCONTROL JUMBER’? !?. PF INSPECTOR: HeRNSING OB ODDO “Ft toucdu dale, © General ® Seating ie INSPECTION REASON... Failure to comply with this Notice may Inttlate an administrative complaint that may result In suspension or revocation of your license and fines. 1 dP Routine @ go OB. 33 Complaint e © OB 42 ltomaton ___INSPECTION RESULTS DBs 5 © Epidamiological 4 ANY VIOLATIONS noted herein must be a o aw DISPOSITION: corracted by the NEXT ROUTINE INSPECTION. s] ic) ict) @ 6 @ Pending 2 WARNING: Violations In the operation of your establishment must be coractad by: Dates Times. 3 @ ADMINISTRATIVE COMPLAINT recommended. oa HACCP INSPECTION 5 Seasonal 6 (© EMERGENCY ORDER recommended based wpon 4 severe and immodiaie threat to the public. (TEM ‘Dd; FOOD TEMPERATURES S °°" ° Circied temperatures are in violation |; NOTE: ITEMS IN RED ANG MARKED WITH AN ASTERISK ARE OF CRITICAL CONCERN ‘AND MUST BE CORRECTED IMMEDIATELY. | See neverse side for explanation of citations. ‘1 070 “4 230] 41a sor ‘obC3 a) 380 2 ea 1 oe nbC] OO BOs AO 823 soa one] 1709 2a ease 49 *saaf 9) op 090) 1809 ‘2709 844) 820 oat) 100 1909 "2a: 8709 “450 54 dO ‘NOt 2C 38 48 550) spa ize -2z0b( 30) 9 a7 Be) ao iwy zo no 10 ‘at 5703 Bo 3D 20 RO ig 55 ARE IN VIOLATION Wreta sage IRE CXTUGUISHERS \e- Tet 5: oe SUPPRESSION ESTERS Sanitizing Concentration Sanitizing Temperature ADDITIONAL COMMENTS ON ATTACHED COMMENT SHEET REMINDER: Your license expires _/4/O/ L OF ' RRO ES Aver. : Tike | mee “ OR TE ON LE yew hospiialtyeducation.org : Revisnd 2002 October 7 Ie TS DISTRICT OFFICE COPY Veman ANS CAdhinr ont F Fon 2D05° 7 - 280. ere iT P State of Florida Control Number Department of Business and Professional Regula " ce i, Division of Hotels and Restaurants fed c =D Ik. 2| 0] ( ) www. hospitalityeducation.org Mb MAY -5 A Ik 38 Pa ? ot <— Cy ge_ DIVISION! OF comments to-the Lodging, =~ et laa Verification. Bt Contbnmuso~ hcenise Ls DNph).02 O60, = 262600 | Vio last on) Guia, se_cadho tec otf = “iden (00 er ron, pb lS Me Pei L exe Gil fa Gal ohne er 5 ars held © Wat. AS- L244 Cole - fl] geeduch (Mae Shad 4% 6 Lebwoti/ f» LG Late) LLU. Y oboceuUD Leh loolge Te cing heedie | Addendum to DBPR Forms HR 5022- 005, 5022-014, 5022-015, 5022-0 Food Service, or HACCP Inspection: Call’ Back/Reinspection’ +s COMMENTS SHEET D a Ve M6 Mantaonts tI 9 (VED LRP Bubs et? Celina fofsh Mess ave Wo 7 Lirtmed tof 4 JAF eH Staines. — HF ; @) ona me Eatcly fo Fak EE preoclieds Coa cbs enoney No “nig Fees iw S Soe, “Og. fete to Stata han reaped “f - LA. perltt Rebs

Docket for Case No: 06-001599