Permit Information
Permit Information
| Is this application for a New or Existing Permit (Renewal)? |
Existing
|
Facility Information
| Name of Facility |
Gocha's Breakfast Bar
|
| Facility Contact Name |
Gocha Hawkins
|
| Facility Contact Phone Number |
+16789279166
|
| Facility Physical Address |
3695 Cascade Rd SW, Atlanta GA 30331-2173
|
| Facility Contact Email Address |
[email protected]
|
| Is Facility Mailing Address the same as above? |
No
|
Facility Mailing Address
| Facility Mailing Address |
3695 Cascade Rd SW, Atlanta GA 30331-2173
|
| Facility Mailing Suite Number |
440
|
| Facility Mailing Email Address |
[email protected]
|
Existing Permit
| Facility Name |
(Area B) GOCHA'S BREAKFAST BAR
|
| Facility Contact Phone Number |
305-877-9210
|
| Facility Contact Email Address |
[email protected]
|
| Facility Contact Name |
GOCHA HAWKINS
|
| Existing Facility Permit Number |
4251
|
| Facility Mailing Address |
3695 CASCADE ROAD SW, SUITE 440, Atlanta GA 30331
|
| Facility Address |
3695 CASCADE ROAD SUITE 440 Atlanta GA 30331
|
| SwiftComply Establishment Profile URL |
https://fulton-county-ga.swiftcomply.com/city/establishments/3571
|
| Has anything changed since last year? (Enter N/A or no if no changes to owner, systems, etc.) |
Expansion
|
Owner / Corporate Information
| Owner / Corporation Name |
Tashala Gocha Hawkins
|
| Owner Contact Name |
Gocha Hawkins
|
| Owner Contact Telephone |
---
|
| Owner Address |
---
|
Type of Business
| Type of Business (restaurant, school, car maintenance) |
Restaurant
|
| Has new equipment been added since business opened? |
Yes
|
| Are your water and sewer provided by same jurisdiction? |
Yes, same jurisdiction
|
Utilities Jurisdiction
| Water & Sewer Jurisdiction |
Fulton County
|
Certification
Certification
| Full Name |
Tashala Gocha Hawkins
|
| 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) |
No
|
| Please enter how many years permit has been unpaid in the past (please enter 0 for none) (RENEWALS ONLY): |
0
|
| Notes |
|
