Food Establishment Application
Business Information:
Date Sales Tax ID #
Business Address
State Zip
Business Phone
Name of business
Type of business Sq ft
Business Owner Information:
Name____________________________________________E-mail_________________________________________
Mailing Address:
Name Phone
Address City
State Zip
Property Owner Information:
Name Phone
Address City
State Zip
General Information:
Preparers Name Position
Emergency Contact Phone
Health Permit Information:
Permit #
Health Permit Fee Description Quantity Fee
New Application Fee $162.00 Restaurant - less than 1,000 sf $162.00
Restaurant - greater than 1,000 sf $487.00
Grocery Store - less than 12,000 sf $324.00
Grocery Store - greater than 12,000 sf $487.00
Convenience Store with deli $324.00
Convenience Store without deli $162.00
Nursing Home / Bar / Bakery $324.00 Day Care – Licensed Capacity $324.00
Class I Mobile Units / Snack Bars $162.00
Class II Mobile Units $324.00
Class III Mobile Units $162.00
Class IV Mobile Units $81.00
School Cafeterias $487.00 Concession Stand/ Snow-Cone Stand/ Seasonal Permit $162.00Swimming Pool (number of pools, hot tubs, & spas) @ $162.00 each New TABC Application Fee $162.00
Retailers TABC Permit 50% of TABC Fee
Food Establishment Application
Consumer Health Division
401 N. Elm St * Denton, Texas 76201
PHONE 940-349-8360 FAX 940-349-7208