Poe's 2nd Qtr Inspect & CE 2013 ri lin Ci j a f kfan6e &ack
DOG FRIENDLY RESTAURANT INSPECTION CHECKLIST
jt (Per Ordinance No.95-10-102)
AB PERMIT# DOG-12-00100033
NAME OF ESTABLISHMENT Poe's Tavern (AB BTR#12-00007435) J`x FL DBPR-HR#SEA-2612482
[— INITIAL INSPECTION DATE: z—_a ��
r QUARTERLY INSPECTION r 1ST QTR(Oct-Dec) r 2ND QTR(Jan-Mar) r 3RD QTR(Apr-Jun) r 4TH QTR(Jul-Sep)
�otice of Application for Dog-Friendly Restaurant Permit is conspicuously posted in the
proposed designated outdoor',area. (Initial Inspection Only) [Section 24-158(d)(3)b]
Configuration of the designated outdoor area is consistent with the approved diagram.
[Section 24-158(d)(1)]
V/Dog-Friendly Restaurant Permit is conspicuously posted in the approved designated
outdoor area. (Quarterly Inspections Only) [Section 24-158(e)(2)]
aLWaterless hand sanitizer is provided on all tables in the designated outdoor area. [Section
TT 24-158(e)(3)]
t� Dog waste kit stocked with cleaning and sanitizing supplies is maintained in the designated
^outdoor area. [Section 24-158(e)(4)]
„L Employee-directed content sign(s) is conspicuously posted in an employee area. [Section
724-1 (f)(2)]
atron-directed content sign(s) is conspicuously posted in the designated outdoor area.
[Section 24-158(f)(3)]
COMMENTS:
t
INSPECTED BY DATE
/Copy of inspection results left on-site with respousible party.
r— Copy of inspection results mailed to responsible party.
DOGinspection_v2011.01
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DOG FRIENDLY RESTAURANT PERMIT APPLICATION
(Per Ordinance No.95-10-102)
DIAGRAM OF DESIGNATED DOG-FRIENDLY OUTDOOR SEATING AREA
In the space below,provide a diagram(to scale)of thei,designated outdoor seating area showing the following:
• Boundaries of the designated dog friendlyoutdoor seating area with dimensions, to scale
• Boundaries of any non-designated outdoor seating area with dimensions,to scale
• Number and placement of tables,chairs and restaurant equipment
• Location of entryways to and exits from all designated and non-designated outdoor areas
• Location of all fences andlor barriers
• Location of property lines and public rights-of-way,including sidewalks,curbs,common pathways and public improvements,
such as benches,fire hydrants,etc
NAME OF ESTABLISHMENT Poe's Tavern FL DHR# SEA-2612482
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Inspected£a Approved by: 10/03/2012-Dw
APPLICATION 1ST QTR 2ND QTR 3RD QTR 4TH QTR
APPROVAL INSPECTION INSPECTION INSPECTION INSPECTION
DOG v2011.01
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Compliance Investigation Form
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Investigation# Date of Request: — Time of Request:
Name of Person Making Request: '2r�
Address: l 1` C/ — coo Phone # J/ �
Investigation Type
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Location (Address) of Violation:
Property Owner:
VIOLATIONS:
Action Taken:
i
Legal Description:
RE#: Compliance:
F:\Code Enforcement\Compliance Investigation Form.doc', Oct 9 2009