Permit Information
Permit Information
Is this application for a New or Existing Permit (Renewal)? |
Existing
|
Existing Permit
Facility Name |
(Area O) MAZZY'S SPORTS BAR & GRILL
|
Facility Contact Phone Number |
770-851-4147
|
Facility Contact Email Address |
[email protected]
|
Facility Contact Name |
LEE CHRISTIONSEN
|
Existing Facility Permit Number |
4240
|
Facility Mailing Address |
13695 HIGHWAY 9, SUITE 106, MILTON GA 30004
|
Facility Address |
13695 GA-9 SUITE 106 MILTON GA 30004
|
SwiftComply Establishment Profile URL |
https://fulton-county-ga.swiftcomply.com/city/establishments/3560
|
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 |
Li Fan / 888 Sports Group Inc
|
Owner Contact Name |
Li Fan
|
Owner Contact Telephone |
---
|
Owner Address |
---
|
Certification
Certification
Full Name |
Lee Christiansen
|
Registered Agent (if applicable) |
Lee Christiansen
|
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) |
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 |
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