DOG DINING POE'S 2013 City of offan&Seac6
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 the designated outdoor seating area showing the following:
• Boundaries of the designated dog friendly outdoor 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 and/or 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 OHR# SEA-2612482
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Inspected&Approved by: 9/24/2012-EH 10/03/2012-DW 01/16/2013-DW
APPLICATION 1ST QTR 2ND QTR -3RD QTR 4TH U177—
APPROVAL INSPECTION INSPECTION INSPECTION INSPECTION
DOG v2011.01
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r DOG FRIENDLY RESTAURANT INSPECTION CHECKLIST
(Per Ordinance No.95-10-102)
AB PERMIT# DOG-12-00100033
NAME OF ESTABLISHMENTPoe's Tavern FL DBPR-HR#SEA-2612482
F_ INITIAL INSPECTION DATE:
FX_ QUARTERLY INSPECTION [— 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)]
Dog-Friendly Restaurant Permit is conspicuously posted in the approved designated
outdoor area. (Quarterly Inspections Only) [Section 24-158(e)(2)]
r Xaterless hand sanitizer is provided on all tables in the designated outdoor area. [Section
24-158(e)(3)]
,,,Dog waste kit stocked with cleaning and sanitizing supplies is maintained in the designated
outdoor area. [Section 24-158(e)(4)]
,..r Employee-directed content sign(s) is conspicuously posted in an employee area. [Section
24-158(f)(2)]
Patron-directed content sign(s) is conspicuously posted in the designated outdoor area.
r [Section 24-158(f)(3)]
COMMENTS:
INSPECTED BY ATE
Copy of inspection results left on-site with responsible party.
[r Copy of inspection results mailed to responsible party.
DOGinspection_v2011.01