Mobile Food Service Vehicle Application

Permit Application for Mobile Food Service Vehicle

This application must be filled out completely. Application for a permit does not guarantee that a permit will be granted. Application approval is based upon compliance of the Mobile Food Service Vehicle (MFSV) with state and local health requirements and City of Mount Pleasant ordinances governing MFSV operation.

Required Items with the Application

Tennessee Business License (by city or home-based county)
TN Department of Health Inspection Report (Minimum 70% or better)
Driver License
Vehicle Registration
Automobile Insurance
Photos of Vehicle

Business Name:*

MFSV Name:*

MFSV Owner:*

Owner's Phone Number:*

Owner's Address:*

Street Address

Street Address Line 2

CityState

Zip Code

Owner's Email:*

example@example.com

MFSV Operator:*

Operator's Phone Number:*

City Business License Number:*

County Business License Number:

TN Department of Health License Number:*

Applicant's Driver License Number (list state if not TN):*

Photo of Driver License:*

Type of Vehicle:*

TruckOther

Vehicle Make:*

Vehicle Model:*

Vehicle Year:*

Vehicle Weight:*

If weight exceeds 26,000 lbs., a Commercial Driver License required.

Vehicle License Plate Number:*

Photo of Vehicle Registration:*

Proof of Automobile Insurance:*

Photos of Vehicle:*

Will the MFSV use a deep fryer or flat top griddle for food preparation?*

YesNo

Will propane be used on the MFSV?*

YesNo

Is the MFSV equipped to use shore power?*

YesNo

Applicable Fee:

Annual Permit - ($50.00) - (valid for one year)Renewal Application - ($50.00) - (application must be made within 5 business days of expiration)If this is a Renewal Application, please check here if changes have been made to the MFSV since its last inspection by the City of Mount Pleasant.

Tennessee Business License:*

TN Department of Health Inspection Report:*

Mobile Food Service Vehicle CANNOT operate in the City of Mount Pleasant unless the MFSV has a valid Mobile Service Permit issued by the City and complies with all applicable laws and regulations.

I certify that all information in this application and the required documents is accurate to the best of my knowledge. I agree to comply with the City of Mount Pleasant regulations regarding MFSVs. I understand that if any changes are made to the information included in this application, I should notify the City.

Applicant's Name:*

First NameLast Name

Applicant's Signature*

After submitting your application, please contact the Mount Pleasant Fire Department at (931) 379-7717 Ext 183 to schedule a Fire Inspection of your MFSV.