/ For Office Use Only
Date of Application ...... ………………....
Fee Received...... ………….…..…
Date of issue of Certificate .…….....……
THE LICENSING (SCOTLAND) ACT 2005
APPLICATION FOR FOOD HYGIENE CERTIFICATE UNDER SECTION 50
1. Name and Address of Applicant /
2. Address of Premises /
3. (a) Are you applying for a Grant of a Premises Licence or
(b) Provisional Premises Licence /
4. Supply plan of premises and give full information relating to construction, layout, drainage, ventilation, lighting, and water supply and also regarding provision of sanitary and washing facilities. /

I/We hereby certify that the plan accompanying this application is an exact copy of the plan I intend to lodge with the Licensing Board.

Signature of Applicant/Agent:

Address of Applicant/Agent:

Date:

ADDRESS TO WHICH APPLICATION SHOULD BE SENT TOGETHER

WITH ONE SET OF PLANS

South Ayrshire Council

Development Safety & Regulation

Environmental Health

3rd Floor, Burns House

Burns Statue Square

Ayr, KA7 1UT

Tel. Enquiry Point: - 01292 618222

Office Hours : 8.45 a.m. to 4.45 p.m. Monday to Thursday & 8.45 a.m. to 4.00 p.m. Friday


SOUTH AYRSHIRE COUNCIL

LICENSING (SCOTLAND) ACT 2005

Section 50 Certificates

Provisional Premises Licence Application

If you are intending to apply for a provisional liquor licence then you must first obtain a Section 23 from Planning forms available via the website.

Thereafter to have the licence confirmed you will also require a Section 50 Certificate from Environmental Health and Building Standards. In respect of Environmental Health, please complete the application form overleaf and return with the documentation below.

1. 1 plan;

2. Fee of £100;

(NB. Cheques should be made payable to South Ayrshire Council)

3. the draft operating plan.

Environmental Health application form and guidance note can be downloaded from www.south-ayrshire.gov.uk/environmentalhealth

Premises Licence Application

If you are intending to apply for a full Premises Licence then you must first obtain Section 50 certificates from Planning, Environmental Health and Building Standards.

Please complete the application form for Environmental Health and return with the documentation below.

1. 1 plan;

2. Fee of £100;

(NB. Cheques should be made payable to South Ayrshire Council)

3. the draft operating plan.

Environmental Health application form and guidance note can be downloaded from www.south-ayrshire.gov.uk/environmentalhealth

All premises licence application forms for Planning, Environmental Health & Building Standards can be downloaded from:

http://www.south-ayrshire.gov.uk/licensing

Please note that the Licensing Board cannot accept an application unless Section 50 Certificates from Planning, Environmental Health & Building Standards are lodged along with it.

Telephone Enquiries

Environmental Health 01292 618222

Email:: Environmental.Health:south-ayrshire.gov.uk

www.south-ayrshire.gov.uk/environmentalhealth