State of Florida Department of Business and Professional Regulation Division of Hotels and Restaurants DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION Petitioner, vs. . GREEN PARROT BAR & GRILL Lisanes Number 2906168 Respondent. Case Number 2012026548 # ___1._ Petitioner is the state agency charged with regulating the operation of public lodging establishments and (“Respondent”), and says: Administrative Complaint The DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION, DIVISION OF HOTELS AND RESTAURANTS, (‘Petitioner’), files this Administrative Complaint against GREEN PARROT BAR & GRILL, 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 11759 N DALE MABRY HWY, TAMPA, FLORIDA 33618.The mailing address of record is GREEN PARROT BAR & GRILL, at 11759 N DALE MABRY HWY, TAMPA, FLORIDA 33618. oo of the provisions of Chapter 09, 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, suspension, revocation, or refusal of a license issued pursuant to this Chapter, and/or any other relief authorized by Chapter 509, Florida Statutes, or the rules promuigated thereto. By delegation of the Director, or designee Division of Hotels & Restaurants Department of Business & Professional Regulation Signed June 04, 2012 - ee ; Joe Perez, District Manager - Inspection of this establishment conducted pursuant to Sec. 509.032, Florida Statutes, revealed violations COUNSEL FOR THE DEPARTMENT: Marc Drexler, Lead Attorney Florida Bar No, 0487058 Department of Business & Professional Regulation 1940 North Monroe Street Tallahassee, Florida 32399-2202 Certificate of Service BY CERTIFIED U.S. MAIL, ARTICLE NUMBER: | HEREBY CERTIFY that a true and correct copy of the foregoing ADI hand served by me on this. day of Inspector's Signature Title Case Number: 2012025548 File Number: 236556 License Number: 3906168 2010 GREEN PARROT BAR & GRILL Certified! Article Number 71% A108 §W41 0324 Aud? SENDERS RECORD:....... 2012. Received by: Operator's Signature Title District Number: 03 Form revised 09.10.11 Filed November 6, 2012 4:55 PM Division of Administrative Hearings MINISTRATIVE COMPLAINT has been Exhibit A License Number: 3906168 License Type: 2010 PERMANENT FOOD SERVICE Case Number: 2012025548 | Public Health Service, Food and Drug Administration, incorporated by Chapter 61C, Florida Administrative \ Code. "NFPA" as cited herein references specific provisions of the National Fire Protection Association Life “EC” as cited herein references specific provisions of the Food Code, Recommendations of the United States : afety Code, Incorporated by reference at Chapter 4A-3, “Fire Prevention, General Provisions”, Florida Administrative Code, and 1. , Florida Administrative “ denotes a critical violation. It is alleged that on June 3, 2010, August 12, 2010, November 5, 2010, January 42, 2011, April 19, 2011, November 4, 2011, May 15, 2012 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. 4. 37-01-1 61C-1.004(6) FAC:: (6) ALL BUILDING STRUCTURAL COMPONENTS, ATTACHMENTS AND FIXTURES SHALL BE KEPT IN GOOD REPAIR, CLEAN AND FREE OF OBSTRUCTIONS. CEILING TILE(S) MISSING, OBSERVED 6/3/10, 8/12/10, 11/5/10, 1/12/11, 4/19/41 AND 5/15/12. 2. 51-16-1 61C-1.002(6)(C)(1) FAC:: (1) THE OPERATOR OF EACH PUBLIC FOOD SERVICE ESTABLISHMENT TO BE NEWLY CONSTRUCTED, REMODELED, CONVERTED, OR REOPENED SHALL SUBMIT PROPERLY PREPARED FACILITY PLANS AND SPECIFICATIONS TO THE DIVISION FOR REVIEW AND APPROVAL IN ACCORDANCE WITH THE PROVISIONS OF CHAPTER 509, FS, AND RULE CHAPTERS 61C-1 AND 61C-4, FAC, SUCH PLANS MUST BE APPROVED BY THE DIVISION PRIOR TO CONSTRUCTION, REMODELING, CONVERSION, SCHEDULING OF AN OPENING INSPECTION AND LICENSING. ‘ NO PLAN REVIEW SUBMITTED/APPROVED AND RENOVATIONS OBSERVED; 3 COMPARTMENT SINK MOVED. Case Number: 2012025548 File Number: 236556 District Number: 03 License Number: 3906168 2010 Form revised 09.10.11 _ GREEN PARROT BAR & GRILL

Docket for Case No: 12-003617