Florida Department, Businesy()) Professi ral Rick Scott, Governor Regulation Ken Lawson, Secretary PAGE 7 RE: CASE NUMBER 2014038934 DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO PETITIONER, VS. : COSTA AZUL MEXICAN:RESTAURANT AND CATERING LLC D/B/A COSTA:AZUL MEXICAN RESTAURANT AND CATERING LLC LICENSE NUMBER BEV6602712 SERIES 2COP RESPONDENT ADMINISTRATIVE COMPLAINT Comes now, the Division of Alcoholic Beverages and Tobacco, herein after referred to as “petitioner,” and files this administrative complaint against COSTA AZUL MEXICAN RESTAURANT AND CATERING LLC herein after referred to as “respondent,” and alleges: 1. Petitioner is the state agency charged with supervising businesses licensed under the Florida beverage, tobacco and tax, and tobacco products permit laws pursuant to sections 559.061, 561.07, 561.15, 561.19, 561.29, 561.501, 210.15, 210.16, 210.45, 210.50, 569.003, and 569.006, Florida Statutes. 2. Respondent is, and has been at all times material hereto, the holder of a valid license/permit, issued in the State of Florida, by the Division of Alcoholic Beverages and Tobacco, Respondent's last known mailing address is as follows: COSTA AZUL MEXICAN RESTAURANT AND CATERING LLC D/B/A COSTA AZUL MEXICAN RESTAURANT AND CATERING LLC 709 WISTERIA AVE FORT PIERCE, FL 34982 And the division has not been notified of any other designated person or address for the service of process and notices authorized by Rule 61A-2.012, Florida Administrative Code. 3. Petitioner intends to revoke; suspend; annul; impose civil penalties, investigative costs, and late penalties; or any combination of these authorized penalties. This intended action is based on the below described facts or conduct. (772)468-3927 337 N US HIGHWAY 1 www. MyFioridaLicense.com SUITE #411 License Efficiently, Regulate Fairly. Fort Pierce, Florida 34950 Florida Departmentet Busines Professional . Regulation ken Lawson, Secretary PAGE 8 RE: CASE NUMBER 2014038934 DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO VS. ‘COSTA AZUL MEXICAN RESTAURANT AND CATERING LLC D/B/A COSTA AZUL MEXICAN RESTAURANT AND CATERING LLC LICENSE NUMBER BEV6602712 You, COSTA AZUL MEXICAN RESTAURANT AND CATERING LLC, D/B/A COSTA AZUL MEXICAN RESTAURANT AND CATERING LLC, are charged with the following count(s): 4. On or about March 21, 2014, you, the aforementioned licensee, holding a license under the Beverage Law, or your agent(s), officer(s), servant(s), or employee(s), to wit: Rosalba Otero, did unlawfully on your licensed premises, sell, give, serve, or permit to be served an alcoholic beverage, to wit: one 10 ounce bottle of Budweiser Beer, to a person, to wit: an underage operative employed by the Saint Lucie County Sheriff's Office, under 21 years of age, this act being contrary to and in violation of section 562.11(1)(a), within 561.29(1)(a), Florida Statutes. Signed this September 17, 2014 William N. Spicola , Director Division of Alcoholic Beverages and Tobacco aw Enforcement Captain Explanation of Service: Date Served Se To~-Ber lA, Col$E f6Be (try Received By : Non. Boas Personal Service By S/o. Mmisroe "Sf (sign) Personal Service By Sh & M (print) Service Location 2SI! OK CU kBoete PP FZ, Here, [FX Certified Mail # *Altach Receipt if Served by Mail. (772}468-3927 : 337 N US HIGHWAY 1 www,MyFloridaLicense.com SUITE #111 License Efficiently. Regulate Fairly. Fort Pierce, Florida 34950 | | |

Docket for Case No: 15-002548