Permit Information
Permit Information
Is this application for a New or Existing Permit (Renewal)? |
Existing
|
Facility Information
Name of Facility |
Breadwinner Cafe
|
Facility Contact Name |
Sheila Buckley
|
Facility Contact Phone Number |
+14049992623
|
Facility Physical Address |
220 Sandy Springs Cir, Atlanta GA 30328-3816
|
Facility Suite Number |
Ste 195
|
Facility Contact Email Address |
[email protected]
|
Is Facility Mailing Address the same as above? |
Yes
|
Existing Permit
Facility Name |
(Area Y) BREADWINNER CAFE
|
Facility Contact Phone Number |
404-843-9494
|
Facility Contact Name |
MARK HOOD/LESLIE MELKONIAN
|
Existing Facility Permit Number |
2910
|
Facility Mailing Address |
220 SANDY SPRINGS CIRCLE, SUITE 195, SANDY SPRINGS GA 30328
|
Facility Address |
220 SANDY SPRINGS CIRCLE, STE 195 SANDY SPRINGS GA 30328
|
SwiftComply Establishment Profile URL |
https://fulton-county-ga.swiftcomply.com/city/establishments/2472
|
Has anything changed since last year? (Enter N/A or no if no changes to owner, systems, etc.) |
n/a
|
Owner / Corporate Information
Owner / Corporation Name |
Breadwinner Cafe & Bakery
|
Owner Contact Name |
Geoffrey Melkonian
|
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
|
Utilities Jurisdiction
Water & Sewer Jurisdiction |
Fulton County
|
Commercial Waste Transporter Service (Pumper)
Company Name |
Southern Green Industries
|
F.O.G. Permit Number |
2910
|
Company Contact Name |
DB Mitchell
|
Company Address |
4565 Frederick Ct SW, Atlanta GA
|
Company Telephone Number |
+14044196887
|
Waste Removal
Do you use a Grease/Waste Oil Recycle Company? |
No
|
Certification
Certification
Full Name |
Sheila K. Buckley
|
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
|
Notes |
|