Form FDACS-09015 "Application for Permit to Feed Garbage to Swine" - Florida

What Is Form FDACS-09015?

This is a legal form that was released by the Florida Department of Agriculture and Consumer Services - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 1991;
  • The latest edition provided by the Florida Department of Agriculture and Consumer Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form FDACS-09015 by clicking the link below or browse more documents and templates provided by the Florida Department of Agriculture and Consumer Services.

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Download Form FDACS-09015 "Application for Permit to Feed Garbage to Swine" - Florida

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Remit $50.00-$200.00 Non-Refundable
Florida Department of Agriculture and Consumer Services
Application Fee Online at:
Division of Animal Industry
www.FreshFromFlorida.com
Bureau of Animal Disease Control
- or -
Check or Money Order Payable to
APPLICATION FOR
FDACS and remit to:
PERMIT TO FEED GARBAGE TO SWINE
FDACS
ADAM H. PUTNAM
P.O. Box 6710
COMMISSIONER
Tallahassee, Florida
585.51, Florida Statutes
32314-6710
5C-11, Florida Administrative Code
Contact: Swine Programs Coordinator Phone
(850) 410-0900 Fax: 410-0946 or 0919
http://www.FreshFromFlorida.com
Note: All documents and attachments submitted with this request are subject to public review pursuant to Chapter 119, F.S.
COMPLETE ALL ITEMS
Owner’s Name
Mailing Address
City
Zip Code
Facility Address
City
Zip Code
Telephone
County/District
Email
Premises ID#:
Facility GPS: Latitude (5 Digit Decimal)
Facility GPS: Longitude (5 Digit Decimal)
Permit/Renewal Fee:  $50 (1-25 Swine)  $100 (26-50 Swine)  $150 (51-100 Swine)  $200 (More than 100) Swine)
In accordance with the provisions of Section 585.48-585.59, Florida Statutes and the rules of the Florida Department of
Agriculture and Consumer Services, I hereby make application to the Department for a permit to feed garbage to swine.
I agree to comply with the Florida Statutes and rules of the Department relating to the feeding of garbage to swine.
(Signature of Applicant)
(Date)
INSPECTORS USE ONLY
Basic Requirements
o
 Yes  No
1. Cooker is adequate in capacity and ability to raise temperature of material to 212
F and to hold it at that
temperature for 30 minutes.
 Yes  No
2. Firebox is enclosed (if direct fire cooker is used).
 Yes  No
3. Cooking area is covered.
 Yes  No
4. Fencing around premises and cooker is adequate.
 Yes  No
5. Containers are adequate in number and are leakproof.
 Yes  No
6. Separate containers are used for treated/untreated garbage or adequately cleaned between use.
 Yes  No
7. Adequate control of insects, rodents, etc.
 Yes  No
8. Adequate provisions for disposal of excess or untreated garbage.
 Yes  No
9. Assurance of cleanliness of vehicles, equipment and facilities used in garbage feeding operation.
 Yes  No 10. Raw garbage handling areas can be properly cleaned.
 Yes  No 11. Adequate records kept on raw garbage. List all garbage sources on reverse.
Following is a brief description of the equipment and method to be used in the cooking or treating of garbage.
(If additional space is needed, complete on back).
Inspector’s certification: I hereby certify that all the basic requirements have been met and that the requirements and methods to be used are
adequate. I also recommend that the permit be issued/renewed.
(Inspector’s Signature)
(Date)
Org. Code: 42090201000
For Office Use Only
EO: A2
Object Code: 002058
$50-$200
 First Issue
 Renewal
Permit Number:
Date:
Distribution: Original/White: Owner One Copy: Bureau-Tallahassee One Copy: District Office
One Copy: USDA-Gainesville
FDACS-09015 Rev. 01/91
Page 1 of 2
Remit $50.00-$200.00 Non-Refundable
Florida Department of Agriculture and Consumer Services
Application Fee Online at:
Division of Animal Industry
www.FreshFromFlorida.com
Bureau of Animal Disease Control
- or -
Check or Money Order Payable to
APPLICATION FOR
FDACS and remit to:
PERMIT TO FEED GARBAGE TO SWINE
FDACS
ADAM H. PUTNAM
P.O. Box 6710
COMMISSIONER
Tallahassee, Florida
585.51, Florida Statutes
32314-6710
5C-11, Florida Administrative Code
Contact: Swine Programs Coordinator Phone
(850) 410-0900 Fax: 410-0946 or 0919
http://www.FreshFromFlorida.com
Note: All documents and attachments submitted with this request are subject to public review pursuant to Chapter 119, F.S.
COMPLETE ALL ITEMS
Owner’s Name
Mailing Address
City
Zip Code
Facility Address
City
Zip Code
Telephone
County/District
Email
Premises ID#:
Facility GPS: Latitude (5 Digit Decimal)
Facility GPS: Longitude (5 Digit Decimal)
Permit/Renewal Fee:  $50 (1-25 Swine)  $100 (26-50 Swine)  $150 (51-100 Swine)  $200 (More than 100) Swine)
In accordance with the provisions of Section 585.48-585.59, Florida Statutes and the rules of the Florida Department of
Agriculture and Consumer Services, I hereby make application to the Department for a permit to feed garbage to swine.
I agree to comply with the Florida Statutes and rules of the Department relating to the feeding of garbage to swine.
(Signature of Applicant)
(Date)
INSPECTORS USE ONLY
Basic Requirements
o
 Yes  No
1. Cooker is adequate in capacity and ability to raise temperature of material to 212
F and to hold it at that
temperature for 30 minutes.
 Yes  No
2. Firebox is enclosed (if direct fire cooker is used).
 Yes  No
3. Cooking area is covered.
 Yes  No
4. Fencing around premises and cooker is adequate.
 Yes  No
5. Containers are adequate in number and are leakproof.
 Yes  No
6. Separate containers are used for treated/untreated garbage or adequately cleaned between use.
 Yes  No
7. Adequate control of insects, rodents, etc.
 Yes  No
8. Adequate provisions for disposal of excess or untreated garbage.
 Yes  No
9. Assurance of cleanliness of vehicles, equipment and facilities used in garbage feeding operation.
 Yes  No 10. Raw garbage handling areas can be properly cleaned.
 Yes  No 11. Adequate records kept on raw garbage. List all garbage sources on reverse.
Following is a brief description of the equipment and method to be used in the cooking or treating of garbage.
(If additional space is needed, complete on back).
Inspector’s certification: I hereby certify that all the basic requirements have been met and that the requirements and methods to be used are
adequate. I also recommend that the permit be issued/renewed.
(Inspector’s Signature)
(Date)
Org. Code: 42090201000
For Office Use Only
EO: A2
Object Code: 002058
$50-$200
 First Issue
 Renewal
Permit Number:
Date:
Distribution: Original/White: Owner One Copy: Bureau-Tallahassee One Copy: District Office
One Copy: USDA-Gainesville
FDACS-09015 Rev. 01/91
Page 1 of 2
INSPECTION/APPLICATION FOR PERMIT TO FEED GARBAGE TO SWINE
I collect garbage from the following locations (List names and addresses of all individuals, hotels, restaurants or
other institutions from which you obtain surplus food waste):
Name:
Address:
Name:
Address:
Name:
Address:
Name:
Address:
Name:
Address:
Name:
Address:
Name:
Address:
Name:
Address:
Distribution: Original/White: Owner One Copy: Bureau-Tallahassee One Copy: District Office
One Copy: USDA-Gainesville
FDACS-09015 Rev. 01/91
Page 2 of 2
Page of 2