Permit Information
Permit Information
| Is this application for a New or Existing Permit (Renewal)? |
Existing
|
Facility Information
| Name of Facility |
Parkside Shoppes - Prep Kitchen & Bathroom
|
| Facility Contact Name |
Udi Hershkovitz
|
| Facility Contact Phone Number |
+14704622299
|
| Facility Physical Address |
5920 Roswell Rd, Sandy Springs GA 30328-4913
|
| Facility Suite Number |
Bldg C - Suites 140 A / 140 B
|
| Facility Contact Email Address |
[email protected]
|
| Is Facility Mailing Address the same as above? |
No
|
Facility Mailing Address
| Facility Mailing Address |
4880 Lower Roswell Rd, Marietta GA 30068-4375
|
| Facility Mailing Suite Number |
Suite 790Simplify the introduction page to cater to all users, recognizing that not everyone is proficient with technology. The goal is to make the process user-friendly for establishments using the clear forms, preventing any complications for office staff. Please note that payments made using clear forms do not automatically update in Swift Comply. This can lead to awkward situations in the field when reports indicate establishments are delinquent, even when they've made their payments. Rather than generating a receipt, the printed page should serve as a permit. This eliminates the need for preparing and mailing a separate permit. To enhance efficiency, payments made on Clear Forms should automatically populate and update expired permits to active status. We require a batching feature to display all payments, delinquent accounts, and expired permits categorized by area. For instance, under the "RECENT ACTIVITY" heading, we propose a drop-down menu that batches payments upon completion and provides the total collections to date. Additionally, the export function should offer selective options for printing specific columns, avoiding the need to send the entire report to Excel.
|
| Facility Mailing Email Address |
[email protected]
|
Existing Permit
| Facility Name |
(Y) PARKSIDE SABARABAS - PREP KITCHEN
|
| Facility Contact Phone Number |
678-516-5389/404-885-7339
|
| Facility Contact Email Address |
[email protected]
|
| Facility Contact Name |
DOTTIE SIMZYK/LEAH CRAWFORD
|
| Existing Facility Permit Number |
4844
|
| Facility Mailing Address |
4920 Roswell Rd, Atlanta, GA 30342, USA
|
| Facility Address |
4920 Roswell Rd, Atlanta, GA 30342, USA
|
| SwiftComply Establishment Profile URL |
https://fulton-county-ga.swiftcomply.com/city/establishments/4168
|
| Has anything changed since last year? (Enter N/A or no if no changes to owner, systems, etc.) |
Parkside Shops - Prep Kitchen & Bathroom
|
Owner / Corporate Information
| Owner / Corporation Name |
Jamestown
|
| Owner Contact Name |
Leah Crawford
|
| Owner Contact Telephone |
---
|
| Owner Address |
---
|
Type of Business
| Type of Business (restaurant, school, car maintenance) |
Other
|
| Has new equipment been added since business opened? |
No
|
| List any previous names of business, if business is less than (2) yrs old. |
Carl's Cafe
|
Multiple Utilities Jurisdictions
| Water Jurisdiction |
Sandy Springs
|
| Sewer Jurisdiction |
Fulton County / Sandy Springs
|
Commercial Waste Transporter Service (Pumper)
| Company Name |
Southern Green Industries
|
| F.O.G. Permit Number |
204
|
| Company Contact Name |
Rob Del Bueno
|
| Company Address |
4565 Fredrick Dr., SW Atlanta, GA 30336
|
| Company Telephone Number |
+14044196887
|
Waste Removal
| Do you use a Grease/Waste Oil Recycle Company? |
Yes
|
Grease / Waste Oil Recycle Company
| Company Name |
Southern Green Industries
|
| Company Contact Name |
Rob Del Bueno
|
| Company Address |
4565 Fredrick Dr., SW Atlanta, GA 30336
|
| Company Telephone Number |
+14044196887
|
| How often is recycled grease / oil waste removed? |
Once per Quarter
|
| Container Capacity |
1500
|
Certification
Certification
| Full Name |
Dottie Simzyk
|
| Certification |
Yes
|
Verification & Permit Fee Calculation
Fee Calculation
| How many subsurface system (exterior) tanks does the facility have? |
0
|
| How many Manual (interior) 10-100 pound units does the facility have? |
1-2 ($75)
|
| How many Automatic Grease Recovery 20-35 GPM units does the facility have? |
0
|
| Is the payment for the current year permit considered late? (RENEWALS ONLY: If today's date is prior to May 31, 2023, the answer should be no. If today's date is after May 31, 2023 the answer should be yes) |
No
|
| Please enter how many years permit has been unpaid in the past (please enter 0 for none) (RENEWALS ONLY): |
0
|
