Beer/Wine Consumption On-Premises/Package Inspection Form Department of Business and Professional Regulation

Division of Alcoholic Beverages and Tobacco

Bureau of Law Enforcement

Licensed Premises (DBA): _______________________________________ Date: ____________________

License #: ______________________ Series: _________________ Dual License: YES No

Alcohol Inspection #: _________________________ Tobacco Inspection #:_________________________

Question	THIS FORM IS USED FOR LICENSE SERIES:	violATION CODE	reference authority	RESULT (A “No” Response is a Violation)
1	Is the alcoholic beverage license conspicuously posted?	12.01	561.23(2)	YES / No
2	Does the business name (DBA) of the licensed premises match the business name (DBA) on the alcoholic beverage license?	17	561.33(2)	YES / No
3	Does the physical address of the licensed premises match the location address on the alcoholic beverage license?	22.04 24	561.33(1) 562.06	YES / No
4	Is the name of the licensee on all required or other licenses, permits, and certificates? (Department of Revenue, Occupational License, Hotels & Restaurants License, if applicable, Lottery Retail License, if applicable)	3.01	561.17(1)	YES / No
5	If corporation or limited liability corporation; has any change of officer/managing member been disclosed to the Division?	3.02	561.17(3)	YES / No / N/a
6	If sketch available, does premises match diagram reflected on sketch submitted with the alcoholic beverage license application?	24	562.06	YES / No / N/a
7	Does licensee employ only persons of legal age and not otherwise disqualified?	28.01 28.02	562.13(1) 562.13(3)(a)	YES / No / N/a
8	Are all alcoholic beverage products obtained from a licensed distributor?	1	561.14(3)	YES / No
9	If alcoholic beverages are stored or kept off the licensed premises, does the licensee possess an Off-Premises Storage Permit?	23	562.03 61A-4.020	YES / No / N/a
10	If licensee transports alcoholic beverage purchases from a distributor’s place of business to the licensed premises or off-premises storage, are only vehicles owned or leased by the licensee or by any person who has been disclosed on a license application filed by the licensee and approved by the Division, and issued a valid Vehicle Permit used to transport the alcoholic beverages?	20	561.57(3)	YES / No / N/a
11	Are malt beverages, packaged under one gallon, sold in container sizes of 32 ounces or less?	49.03	563.06(6)	YES / No / N/a
12	If draft beer is sold, do the taps or spigots display on the handle in plain view of the consuming public, the name of the beer currently being served through the taps or spigots?	42	563.03	YES / No / N/a
13	Is wine offered for sale in individual containers of one gallon or less or in 5.16 gallon reusable containers?	49.02	564.05	YES / No / N/a
14	Do all bottles appear free of refilling and misrepresentation?	25.01	562.061	YES / No / N/a
15	Are all invoices for alcoholic beverages maintained for a period of three years and available upon request?	67.25	561.55(3)(b)	YES / No / N/a
16	Does the licensed premises only possess alcoholic beverages permitted to be sold under the alcoholic beverage license?	21	562.02	YES / No
17	Is licensee in compliance with Tied House Evil laws and rules based on observations during this inspection?	18.01-18.22	561.42(1) 561.42(2) 561.42(3) 561.42(5) 561.42(10) 561.42(11) 561.42(13) 561.42(14)(a) 561.42(14)(c) 561.42(14)(e) 561.42(14)(f) 561.423 561.424 561.424(2) 565.03(2)(c)	YES / No
18	If coin-operated amusement machines are on the licensed premises, does licensee have required DOR certificate for each machine?	68.02	212.05(1)(h) 561.1105	YES / No / N/a
19	Is the licensed premises in compliance with the Florida Clean Indoor Air Act?	97.01 97.02 97.03 97.04 97.05 97.06 97.07 97.08	386.204 386.207 561.695(3) 561.695(4) 561.695(5)(a) 61a-7.004 561.695(5)(b) 561.695(8) 61A-7.006 561.695(1) 386.203(11) 61A-7.002	YES / No
20	Other Violations	2.01 2.02 14 22.01 22.02 22.03 31.02 32.01 33 40 52.01 52.02 52.03 52.04 55.10 55.20 55.30 56 63.03 63.04 64.01 64.02 64.03 67.02 67.08 67.09 67.10 67.20 67.21	561.15(2) 561.25 562.12(1) 562.14(1) 562.15 562.165(4) 562.452 562.455 849 893 562.41(3) 562.41(4) 847 561.29(1)(d) 561.20(6) 561.57(1) 561.57(2) 61A-3.017(1) 61A-3.017(5)	YES / No
21	Records Request	99.04 99.05 99.06 99.07 99.08	561.29(2)	YES / No

Member Name: ______________________________ Signature: __________________________________

Comments: _____________________________________________________________________________

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