Permit Information
Permit Information
| Is this application for a New or Existing Permit (Renewal)? |
New
|
Facility Information
| Name of Facility |
Luciani’s Italian Restaurant
|
| Facility Contact Name |
Johan Mendez
|
| Facility Contact Phone Number |
+14049144323
|
| Facility Physical Address |
11550 Jones Bridge Rd, Alpharetta GA 30022-4540
|
| Facility Suite Number |
Suite 10
|
| Facility Contact Email Address |
[email protected]
|
| Is Facility Mailing Address the same as above? |
Yes
|
Existing Permit
| Facility Name |
(Area G) COCINA SAN MIGUEL TEX MEX
|
| Facility Contact Phone Number |
470-589-0905
|
| Facility Contact Email Address |
[email protected]
|
| Facility Contact Name |
CLAUDIA TOVAR
|
| Existing Facility Permit Number |
4684
|
| Facility Mailing Address |
11550 JONES BRIDGE ROAD, SUITE 10, JOHNS CREEK GA 30022
|
| Facility Address |
11550 JONES BRIDGE ROAD, SUITE 10 JOHNS CREEK GA 30022
|
| SwiftComply Establishment Profile URL |
https://fulton-county-ga.swiftcomply.com/city/establishments/4006
|
Owner / Corporate Information
| Owner / Corporation Name |
Luciani’s Italian Restaurant
|
| Owner Contact Name |
Johan Mendez
|
| Owner Contact Telephone |
---
|
| Owner Address |
---
|
Commercial Waste Pretreatment System - Subsurface, exterior system
| Do you have a Subsurface, exterior system? |
No
|
Exterior Tank #2
| Trap #2 Type |
Grease Trap
|
| Tank #2 Capacity |
1000-1500
|
| Do you have a third Subsurface, exterior system? |
No
|
Commerical Waste Pretreatment System - Interior System
| Do you have an interior PT system? |
No
|
Type of Business
| Type of Business (restaurant, school, car maintenance) |
Restaurant
|
| Has new equipment been added since business opened? |
No
|
| Are your water and sewer provided by same jurisdiction? |
Yes, same jurisdiction
|
Utilities Jurisdiction
| Water & Sewer Jurisdiction |
Think Utility Services Inc.
|
Multiple Utilities Jurisdictions
| Water Jurisdiction |
Think Utility Services Inc.
|
Commercial Waste Transporter Service (Pumper)
| Company Name |
Southern Green Industries, Inc
|
| F.O.G. Permit Number |
204
|
| Company Contact Name |
Souther Green Industries
|
| Company Address |
4565 Frederick Drive
|
| Company Telephone Number |
+14044805462
|
Waste Removal
| Do you use a Grease/Waste Oil Recycle Company? |
No
|
Service Agreement
Certification
Certification
| Full Name |
Johan Mendez
|
| Certification |
Yes
|
Verification & Permit Fee Calculation
Fee Calculation
| How many subsurface system (exterior) tanks does the facility have? |
1-5 ($250)
|
| How many Manual (interior) 10-100 pound units does the facility have? |
0
|
| 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) |
Yes (25% late fee will apply)
|
| Please enter how many years permit has been unpaid in the past (please enter 0 for none) (RENEWALS ONLY): |
1
|
