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Health Department

Facility Permit Renewal Form

This form can be used to renew a permit for a single establishment only. Additional establishments may be renewed as well, but each will require completion of this form as a standalone renewal. To pay for a new permit or civil fee, payment must be mailed to the address on the application or civil fine notice.

Convenience Fee

A 2.30% convenience fee will be charged on all debit and credit card transactions. This fee is collected by a third party processor and Metro does not receive any part of it. By clicking on Process Payment below, you acknowledge that you understand that the convenience fee will be charged as calculated below and you agree to pay this fee. Your payment will then be submitted for processing. If you do not wish to process this payment as calculated below, click on Cancel below to leave this page.

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Establishment Information











Permit Information

No permit type has been selected.
No permit type has been selected.
$0.00
$0.00
$0.00

By processing this payment, you affirm that you still meet all the requirements of the law just as you did when you received the original permit. If your address or ownership of the property has changed you will need to come in person to the Metro Health Department located at 2500 Charlotte Avenue, and apply for a new permit. The permits are not transferable to a new address or to new ownership at the same address.

Total Amount
$0.00
$0.00

$0.00
Credit Card Billing Information




Credit Card Information






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By clicking on Process Payment below, you acknowledge that you understand that the convenience fee will be charged as calculated above and you agree to pay this fee. Your payment will then be submitted for processing. If you do not wish to process this payment as calculated above, click on Cancel below to leave this page.

After a payment is received, MPHD will send the renewal permit to the address permitted In the original application within 10 calendar days.