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Temporary Food Establishment Site Modification

  1. Temporary Food Establishment Site Modification Request
    Thank you for using this form to submit your proposed changes. After you submit, a member of P&Z staff will contact you with comments and questions, or approval. Approval of these or any other changes under the Phase I Executive Order should be considered temporary, and may be rescinded at any time at the Town’s discretion, based on local, County, State or Federal guidelines and executive orders. To contact the Planning & Zoning Department, call (561) 741-2323.
  2. Responsible Party Contact Information
    Please list the name, email and phone number for the point of contact for this submission. Please be sure this person is available to answer questions and receive feedback.
  3. Business/Establishment Information
    Please list the business and/or establishment name and physical address.
  4. Please list the Town of Jupiter BTR number for the establishment.
  5. Description of Proposed Changes
  6. Please describe how you will be changing the configuration of your outdoor seating to accommodate the Phase I executive order parameters. Please upload a drawing or a picture of a drawing to show the existing vs. the proposed configuration. Hand drawings are acceptable, as long as they are legible. If you will not be making changes, state "no change".
  7. Formal site plan drawings not required. Hand drawings are acceptable as long as they are legible. Scans or photos of hand drawings are acceptable.
  8. Do you currently have outdoor seating?*
  9. Please describe how you will be changing the configuration of your parking to accommodate the Phase I executive order parameters. Please upload a drawing or a picture of a drawing to show the existing vs. the proposed configuration. Hand drawings are acceptable, as long as they are legible. If you will not be making changes, state "no change".
  10. Formal site plan drawings not required. Hand drawings are acceptable as long as they are legible. Scans or photos of hand drawings are acceptable.
  11. Please describe any signage you will be implementing to accommodate the Phase I executive order parameters. Please upload a drawing or a picture of a drawing to show the existing vs. the proposed configuration. Hand drawings are acceptable, as long as they are legible. If you will not be making changes, state "no change".
  12. Check the box and enter your email below in order to receive a confirmation of this submission.
  13. Leave This Blank:

  14. This field is not part of the form submission.