@5/16/2018 88:28 May 1? 8584146749 DEPR OGA State of Florida 2010 13:39 PAGE Department of Business and Profassional Regulation Division of Hotels and Restaurants DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION Petitioner, VS PAPA JOHN'S PIZZA #481 reense elle ala Respondent Case Number 2009054559 i Administrative Complaint The DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION, RESTAURANTS, ("Petitioner’), files this Administrative Complaint against P. ("Respondent"), and says VISION OF HOTELS AND A JOHN'S PIZZA #481, 1 Petitioner ts the state agency charged with requiating the operation of pubic lodging establishments and public food service establishments, pursuant to Section 20 165 and Chap 2 Respondent is, and has been at all times matenal hereto, licensed by or Division of Hotels and Restaurants The respondent's business address et 509, Florida Statutes Ubject to the jurisdiction of the f record is 6404 SE FEDERAL HWY, STUART, FLORIDA 34997-8313 The mauling address of record ts PAPA JOHN'S PIZZA #484, at 8486 ATHENS COURT, WEEKI WACHEE, FLORIDA 34613. 3 Inspection of this establishment conducted pursuant to Sec 509 032. Flot ida Statutes, revealed violations of the provisions of Chapter 509, Florida Statutes, and / or the rules promulgated thereto governing operation of the establishment The wiolation(s) found and applicable law attached hereto and incorporated here by reference Inspection docume incorporated herain by reference are deseribed in Exhibit *4,” nts are attached as Exhibrt "B*, WHEREFORE, Petitioner respectfully requests entry of an Order Imposing one or more of the following penalties administrative fine not to exceed $1,000 per offense, SUSPenston, 's$ued pursuant to this Chapter, and/or any other relief authonzed by Chapter] rules promulgated thereto Signed October 20, 2009 Ken Buck, ict Manager By delegabon of the Dire Division of Hotels & Rest COUNSEL FOR THE DEPARTMENT Mare Drexler, Lead Attomey Florida Bar No, 0487058 Department of Business & Professional Regulation 1940 North Monroe Street Tallahassee, Flonda 32399-2202 Certificate of Service BY CERTIFIED U.S. MAIL, ARTICLE NUMBER; vocation, or refusal of a license 809, Florida Statutes. or the Department of Business & Plofassional Regulation | HEREBY CERTIFY that a true and correct copy of the foregaing aoe 7d08. COMPLAINT has been 09. ‘ hand served by me on this, day of Received by’ Inspector's Signature Operator's Signature Title Title Gase Number 2009054559 File Number 203649 License Nuraber 5301252 2010 PAPA JOHN'S PIZZA #4841 Distaet Number 02 Form revised 07 16 08 a3/@5 May 1? 2010 13:39 DEPR OGA PAGE @4/@5 @5/16/2018 88:28 8584146749 Exhibrt A License Number 5301252 License Type 2010 PERMANENT FOOD SERVICE Case Number 2009054559 “FC” as cited herein references specific provisions of the Food Code. Recommendations of the United States Public Health Service, Food and Drug Administration, incorporated by Chapter 61C, Florida Administrative Cade “NFPA" as cited herein references specific provisions of thé National Fire Protection Association Life Safety Code, incorporated by reference at Chapter 4A-3, “Fire Prevention, General Provisions", Florida Administrative Code, and 61C-1 004(5), Flonda Administrative Code “" denotes a critical violation It1s alleged that on August 3, 2009, October 7, 2009 the limensee.was in violation of Florida Statute 509(FS) and/or the Rules of the Division of Hotals and Restaurants, Flond& 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 * 41 53A-01-2 509 039 FS AND G1C-4 023(1) FAC ALL MANAGERS EMPLOYED BY A FOOD SERVICE ESTABLISHMENT MUST HAVE PASSED [THE FOOD SERVICE MANAGE ] TEST AND RECEIVED A CERTIFICATE ATTESTING THERETO MANAGERS HAVE A PERIOD OF 80 DAYS AFTER EMPLOYMENT TO PASS THE REQUIRED TEST. ALL MANAGERS WHO ARE RESPONSIBLE FOR THE STORAGE, PREPARATION, DISPLAY, AND SERVING OF FOODS TO THE/PLIBLIC SHALL HAVE PASSED A CERTIFICATION TEST APPROVED BY THE DIVISION DEMONSTRATING A BASIC KNOWLEDGE OF FOOD PROTECTION PRACTICES AS ADOPTED IN THIS CHAPTER THOSE MANAGERS WHO SUCCESSFULLY PASS AN APPROVED CERTIFICATION EXAMINATION SHALL BE ISSUED A CERTIFICATE BY THE CERTIFYING ORGANIZATION, WHICH IS VALID FOR A PERIOD OF FIVE YEARS FROM THE DATE OF ISSUANCE ALL PUBLIC FOOD SERVICE IGATION UPON re MUST PROVIDE THE | DIVISION WITH PROOF OF FOOD SERVICE MANAGER CERTIFICATION UPON REQUEST . OBSERVED MANAGER LACKING PROOF OF FOOD MANAGER CERTIFICATION. MANAGER NOT ON PREMISES. Gase Number 20090545659 File Number 209649 District Number D2 Form revised 07 15 09 License Number 53012527 201) PAPA JOHN'S PIZZA #484

Docket for Case No: 10-002666