Permit Information
Permit Information
| Is this application for a New or Existing Permit (Renewal)? |
Existing
|
Facility Information
| Name of Facility |
Boba Bar
|
| Facility Contact Name |
Vu Ha
|
| Facility Contact Phone Number |
+14086461497
|
| Facility Physical Address |
1165 perimeter ctr west, Atlanta, GA 30346
|
| Facility Suite Number |
303
|
| Facility Contact Email Address |
[email protected]
|
| Is Facility Mailing Address the same as above? |
Yes
|
Existing Permit
| Facility Name |
(Y) BOBA BAR
|
| Facility Contact Phone Number |
408-646-1497
|
| Facility Contact Email Address |
[email protected]
|
| Facility Contact Name |
Vu Ha
|
| Existing Facility Permit Number |
4875
|
| Facility Mailing Address |
1165 Perimeter Center W, Atlanta, GA 30338, USA
|
| Facility Address |
1165 Perimeter Center W, Atlanta, GA 30338, USA
|
| SwiftComply Establishment Profile URL |
https://fulton-county-ga.swiftcomply.com/city/establishments/4200
|
| Has anything changed since last year? (Enter N/A or no if no changes to owner, systems, etc.) |
No
|
Owner / Corporate Information
| Owner / Corporation Name |
Vu Ha
|
| Owner Contact Name |
Vu Ha
|
| Owner Contact Telephone |
---
|
| Owner Address |
---
|
Type of Business
| Type of Business (restaurant, school, car maintenance) |
Asian Restaurant
|
| Has new equipment been added since business opened? |
No
|
| List any previous names of business, if business is less than (2) yrs old. |
Fugu Express
|
Utilities Jurisdiction
| Water & Sewer Jurisdiction |
City of Atlanta Department of Watershed Management
|
Commercial Waste Transporter Service (Pumper)
| Company Name |
Southern Green Industries, Inc
|
| F.O.G. Permit Number |
204
|
| Company Contact Name |
Robert Delbueno
|
| Company Address |
4565 Frederick Ct SW, Atlanta GA 30336-1864
|
| 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, Inc
|
| Company Contact Name |
Robert Delbueno
|
| Company Address |
4565 Frederick Ct SW, Atlanta GA 30336-1864
|
| Company Telephone Number |
+14044196887
|
| How often is recycled grease / oil waste removed? |
Monthly
|
| Container Capacity |
125 gal
|
Certification
Certification
| Full Name |
Vu Ha
|
| 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, 2024, 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 |
|
