Jul 11 200? 12:54 B7/11/2887 12:58 s5edi4s7ag DEPR OGA PAGE 95/89 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION DIMSION OF HOTELS AND RESTAURANTS DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION Patiionar, va. Licaitse Noe, 6803979 BLASE CAFE dent Lloonee Type 2070 Respondent, . Cate No,’ 2007020019 The DEPARTMENT OF BUSINESS AND PROPESS ONAL REGULATION, DIVISION OF HOTELS AND RESTAURANTS, ("Petitioner’), fea thie Administrative Complaint against BLASE CAFE, (‘Respondant’), ana says; 1. Petitioner is the state agency changed with regulating the aperition of public lodging establishments and public food service establishments, pursvant to Section 20,166 and Chapter 509, Florida Statutes. 2. Respondent ie, and has been at all {mes material hereto, lleanged by or subject to the jurisdiction of the Divigion of Hotels and Restaurants, The eapendent’s business address of record Ig 6263 OCEAN BLVD UNIT #9, SARASOTA, FLORIDA 342429919. The mailing ackiress of record is BLASE CAFE, at 5263 OGEAN BLVD UNIT #8, SARASOTA, FLORIDA 342429319, 3. Inspection of this sstablehment conducted pureusnt to Sec, 500.032, Florida Statutes, revealed violations of the provisions of Chapter 609, Florida Statutes, and / or the rules promulgaied therete gaveming operation of tha establishment, The violation(s) found and applicable taw sire deecribed in Exhibit "A," attached hetete and Incorporated herein by reference. Inapection documents are attached ag Exhibit “8“, incorporated herein by reference. WHEREFORE, Petitioner reapectiully requests entry of an Ordar imposing one or more of tha following penalties: administrative fine not to exceed $1,000 per offense: mandatory attendance at Faepondent’s expense al an educational program sponsored by the Department's Hospitality Education Program; suspension, revocation, of refusal of a license issued pursuant to thie Chapter, and/or any other relief authorized by Chapter 509, Florida Statutes, or the rules promulgated thereto. Signed April 23, 2007 Claudia M, Fields, Oaptity District Manager By delegation of tha Director, or dexignaa Division of Hotels & Restaurants Department of Business & Profeasional Regulation COUNSEL FOR THE DEPARTMENT: Cheres F. Tunniciff, Lead Attormey Florida Bar No. 0453831 Department of Business & Profesestonal Reguiation 1940 North Monroe Street Tallahassee, Florida 32309-1007 ¥ CERTIFIED U.8, MAIL, ARTICLE NUMBER: | HEREBY CERTIFY that 4 true and correct copy of the foregoing ADMINIS NE COMPLAINT han been hand served by ma. on this. day of Recatved by; inspactir's Signatura Operator's Signature Tite Title . Cave Number ZOUTU2ESR Dieriet Member OF Jul 11 2007 ar/li/2aa7 12:58 a5a4146749 DEPR OGA PAGE 86/89 Exhibit A Usense Number; 6803979 Licenas Type: 2010 PERMANENT FOOD SERVICE Gana Number: 2007026919 “FC! as cited herein references povielona of tha Food Cade, Recommendations of the United States Public Health Service, Food and ministration, incorporated by Chapter 616, Florida Administrative Code, "NFPA" as ched herein references specific provisions of the National Fire Protection Association Life Safety Goda, incorporated by referance at Chapter 44-3, "Fire Prevantion, General Provisions’, Florida Administrative Code, and 616-1 ,004(5), Florida Administrative Code. “" denotes 4 critica! viclation, it} alleged that on April 3, 2007 the leanses was in violation ef Florida Statute 509(FS) and/or the Rutes of tha Division of Hotels and Restaurants, Florida Administrative Code (FAC), in the following particulara. Copy(s) of the report(s) for the above referenced inepection(s) are altached hereto and Incorporated by reference as Exhibit B. * 4, 8201-1 508.292(1) FS: (1) AN OPERATOR MAY NOT KNOWINGLY AND WILLFULLY MISREPRESENT THE IDENTITY OF ANY FOOD OR FOOD PRODUCT TO ANY OF THE PATRONS OF SUCH ESTABLISHMENT, THE IDENTITY OF FOOD OR A FOOD PRODUCT IS MISREPRESENTED IF: (A) THE DESCRIPTION OF THE FOOD OR FOOD PRODUCT IS FALSE OR MISLEADING IN ANY ARTICULAR; (8) THE FOOD OR FOOD PRODUCT IS SERVED, SOLD, OR DISTRIBUTED UNDER THE NAME OF ANOTHER FOOD OR FOOD PRODUCT; OR (C) THE FOOG OR FOOD PRODUCT FURPORTS TO BE OR IS REPRESENTED AS A FOOD OR FOOD PRODUCT THAT DOES NOT CONFORM TO A DEFINITION OF IDENTITY AND STANDARD OF QUALITY IF SUCH DEFINITION OF IDENTITY ANO STANDARD OF QUALITY HAS BEEN ESTABLISHED BY CUSTOM AND USAGE, IDENTITY OF FOOD OR FOOD PRODUCT MISREPRESENTED. POTATO CRUSTED GROUPER ON MENU, FACILITY CURRENTLY USING TILAPIA AS SUBSTITUTE. 4 ie Distict Number OF preety ane ch ano Form revined 10.40.08 BLAgE GAFE Jul 11 200? 12:55 arf/ll/2ae7y 12:58 8584146749 DEPR OGA PAGE @7/ag DEPARTMENT OF BUSINESS AND PROFBEBIONAL REGULATION EXHIBIT B TATE OH FLORIDA “a { st 4 PMIBION OF HOTELS AND RESTAURANTS: wevernforda.comidbor a FOOD SERVICE INSPECTION REPORT Fedor comply with thik Howie rrovy likin an aciminientitive cothpialad thst my reeult in suspension or revocation of your ficenes and finas, PHOMOTOUISPM Ce i Inspection Gate and Time epection Regeon License Number OMINIETRATIVE COMPLAINT recomme Owner Name Ch, —_—_——— BLASS CAFE res ComarTenaphene Humbe Bustos Mame Inspection Feeautt 60. Of-DEC-C7 umber of Units Callback Data Tine Licanae Expiration 6283 COGAN BLVD UNIT #2 SARASOTA, Mz423319 Addrane (City / Seng 7p 7 616, Manager Name; Richard Sith Sanhiser Type: Chlorine found at Che AB pe Fi xu, ba Garification Date: 12/19/04. Canifiad | soncentraton of 50 PPM. faring trem hat a carte ae 6 by: National Registry cf Food Safety Professionalc MOTE: ave Meviiad above with an apteriek (-) Warne a vigietion speaion (on Complaint F200701 8970. Geax watierhenter outed rear of building ~40 gar.<4000 BTU-180 degree max tempersture, Water Sours: una Nlity. Sewage: Municipal itty. Enrployses enined by Frida Restaurant Aseociaiion on aM bare pete Signature of Recipient bor nee Signa Anthony Posa Te mr gr. Barfition & Safely Specie. 4100 Canter Poin Phone: od 1.49. Da22 S6D,A07, 1805 Vintetigna marine with wn Satarith ate cilia vinkatione, RESTON ry ngampenoce Hews Marked OUT am vitor, peciic dents of wotlion ae ited oo BPA For Hf 8022-016 Jul 11 200? 12:55 arf/ll/2ae7y 12:58 8584146749 DEPR OGA PAGE @8/ag Licunut Number = prrwed STATE OF FLORIDA SEAT 6803870 DEPARTMENT OF BUSINESS AND PROFESSIONALFEGULATION = au siness Name DIVISION OF HOTELS AND RESTAURANTS BLASE CAFE ‘SSA Tp Aiea inspection Cee FOOD BERVIOE INBPECTION REPORT OS/0:Y07 01:14 PM MOTH Faure tn comply eth this Notes may Iniiiats an mchrinistrative complaiit (had rary rebuilt If URpENWEION OF RROCaiCN Of pean ROOTS Aid Tirvna, [status | __ PHF TENPERATINRGONTROL _—i|ssTAG | | GARGARCANDRERE POR, | in ses PO ‘Conuiars covered, adequate number, insect ond modem ---eeeeenee pent, ENDER Ht proper Inpervais, clair ‘Tanaportation a: Cuiside siorige meee chews, enclosure proparly fone cos comorineton, euiprert paar rape eared | ATATUA | NSE Ban % ells a Hricted la waehed and clean, 700d hygianie prectiona foheerved), atemative apersiing plant ployee locker povided ani] lsd pin, Prope ry storact 14 Food contact euftaces designed, constructed, maintained, Instanad, Iocatad 1S Norwood conwet curiae cekighed, Constructed, intmined, innstaled, bration 16 Dishwashing allies designed, conelructed, aperatéd |_| 1, Wash 2. Rinae 3, Genito “17 Thennenetrs, Gauges, fest kits provided : fabs fa LR Lt) Peta Saying Cane ‘Total Nummer of COS Violabens: ‘Total Number of Repeat Viciations: ‘Viownions martoed wilh em acgloris§ ete critica viper) Dees Atari IN ae Incompllance, tome Marked CLIT are viciatone. Bpacitic reins Oo vipa ar HOMO bn Veoement 00. are ved Wid are Nel Agpiicabte, jams Miran! aa NO are Nol Obeevnd, ancl ware rot being eonducted af the time: cf leerpetiain, DESPA Form Hit 5022416 Jul 11 200? 12:56 arf/ll/2ae7y 12:58 8584146749 DEPR OGA PAGE @9/ag eduelt B | uments? (0b) Bot 2 STATE OF FLORIDA 088 DEPARTMENT OF BUSINESS AND PROFEBBIONAL REGULATION. 5,76" None DIVISION OF HOTELS AND RESTAURANTS sineas Nome pTTyloride cea - wwe inapection Date FOOD SERVICE INGEECDON REPORT OM0BDT 01:14 PH Falture bb comply with thle Notice nny Initiase an aciminizirative complain (iH (may Pmeutt In euepenslon or revocation of your lcenee and Anes. Adminteive Compagnia) G20 trhoentity oF ford ot feed petduet mixenprenented. Potato crusted cropee on rvtentu-Reclimy Currey THe Hen ah aLiDUHLLie, Servers vertenliy IniDIN CURTIS grouper 6 Bot arRMAbIe pay GWE, Viketion ts 20-22-1:Chmarvecd enctiited MMMAFIAL OF CON OPEN, STE 1:Ohneread open dumper id, 4835-1 :No cutter had fn) RASRAOR system inspeetion repoe avaliable. DBPR Font HA GOZ2075

Docket for Case No: 07-003125