State of Florida Department of Business and Professional Regulation Division of Hotels and Restaurants DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION Petitioner, VS. “ License Number 6215108 FLORIDA FISHERMAN BOAT License Type 2010 Nespondent. Case Number 2013020730 / Administrative Complaint The DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION, DIVISION OF HOTELS AND RESTAURANTS, ('Petitioner’), files this Administrative Complaint against FLORIDA FISHERMAN II BOAT, (“Respondent”), and says: ‘t. 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 150 JOHNS PASS BOARDWALK, MADEIRA BCH, FLORIDA 33708.The mailing address of record is FLORIDA FISHERMAN Il BOAT, at 170 JOHNS PASS BOAROWALK, MADEIRA BEACH, FLORIDA 33708. 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 "4," attached hereto and incorporated herein by reference. Inspection docurnents are attached as Exhibit "B” incorporated herein by reference. WHEREFORE, Petitioner respectfully requests entry of an Order i 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 promulgated thereto. Signed May 14, 2013 Joe Perez, District Manager ~ By delegation of the Director, or designee Division of Hotels & Restaurants Department of Business & Professional Regulation COUNSEL FOR THE DEPARTMENT: Mare Drexler, Lead Attorney . Florida Bar No. 0487058 Department of Business & Professional Regulation 1940 North Monroe Street é 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 ADMINISTRATIVE COMPLAINT has been hand served by me on this day of Received by: Inspector's Signature Operator’s Signature Title Title Case Number: 2013020730 ‘File Number: 143319 District Number: 03 License Number: 6215108 2010 Form revised 01.01.13 FLORIDA FISHERMAN It BOAT Exhibit A License Number: 6215108 License Type: 2010 PERMANENT FOOD SERVICE Case Number: 2013020730 tt is alleged that on May 1, 2013, May 3, 2013 Respondent was in violation of Florida Statute 509 (FS); the Rules of the Division of Hotels and Restaurants, Florida Administrative Code (FAC); and/or specific provisions of the Food Code, Recommendations of the United States Public Health Service, Food and Drug Administration, as incorporated by Chapter 61C, 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. ** denotes a high priority violation, * denotes an intermediate priority violation. * 4. 35A-05-4 509.221(7)FS High Priority: The operator of any establishment licenséd under this chapter shall take effective measures to protect the establishment against the entrance and the breeding on the premises of all vermin. Any room in such an establishment infested with such vermin shall be fumigated, disinfected, renovated, or other corrective action taken until the vermin are exterminated. Observed roach activity present. Observed a live roach crawling on the side of galley refrigerator on 6/1/2013. Observed a dead roach on counter on 5/3/2013. Case Number: 2013020730 — File Number: 143319 District Number: 03 License Number: 6215108 2010 Form revised 01.01.13 FLORIDA FISHERMAN I] BOAT

Docket for Case No: 13-002596