Mobile Food Unit Permit Application – Norfolk Health Department

Instructions

For new, unpermitted mobile units, the plan review process is required before permitting. Please submit this application, floor plans, equipment schedule, other supporting documents, along with a $40 plan review fee. Submit plan review packet by email, fax, mail, in-person, or online. Annual permit fee of $40 will be required prior to permitting. For annual permit renewal of currently permitted mobile units, please submit this application and attachments listed on page 2. Submit application packet by email, mail, fax, in-person, or online and submit $40 annual permit. Payments: Submit check or money order by mail or in-person. Make payable to Norfolk Department of Public Health. Include Mobile Unit name in "for/memo" section. Call the Environmental Health Office at 757-683-2712 to pay by credit card.

Application Type

New Mobile Unit or Vending Cart

License Renewal

Name Change

Change of Owner

Mobile Unit Information

Mobile Unit Name:

Operator/Owner:

First Last

Phone:

Email:

License Plate #:

VIN:

Facebook page:

Twitter Handle:

Commissary Name:

Commissary Address:

Ownership Information

Individual Owner

Partnership

Corporation

Business/Corporation Name:

Owner #1 Name (Point of contact):

First Last

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Owner #2 Name:

First Last

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Menu Item

Where Item is Prepared (Mobile Unit or Commissary)

Main Ingredients

List all foods and beverages that the mobile unit will serve (attach additional sheet if necessary) Food and beverages shall be prepared and stored in a permitted food establishment. Serving foods and beverages prepared or stored in a home or non-licensed facility is prohibited.

Attachments

Drop files here or

Max. file size: 100 MB.

Please submit the following with your application: Commissary Agreement, Copy of Commissary Health Permit, Commissary's last health inspection report, Copy of Certified Food Protection Manager certificate (certificate holder must be present during inspection), and the Menu.

Name(Required)

Full Name

Date(Required)

Title

Phone

Information provided in this application may be subject to disclosure under the Freedom of Information Act (FOIA).

Last Updated: April 24, 2025