Licensing Authority

Mid Devon District Council

Phoenix House, Phoenix Lane

Tiverton, Devon, EX16 6PP

Tel: 01884 244617/8/9

 

 

 

 

Pet Animals Act 1951

 

 

 

Application for Licence to keep

a Pet Shop

 

 

 

 

 

 

 

 

FOR OFFICE USE ONLY

 

Date copied to Vet/EHO:

Fee: 95.00

 

Date of Inspection:

Licence No:

Received:

 

Recommendation:

Issued:

 

 

 


Please complete in block capitals or type. In all cases ensure that your answers are inside the boxes and written or typed in black ink. Use additional sheets if necessary. You may wish to keep a copy of the completed form for your records.

 

 

 

1. YOUR PERSONAL DETAILS

FIRST APPLICANT

TITLE                      

Surname

 

Forenames

I am 18 years old or over. 

Yes

No

 

ADDRESS WHERE ORDINARILY RESIDENT

 

Post town

 

Post code

 

TELEPHONE NUMBERS

Daytime

Evening

Mobile



FAX NUMBER

E-MAIL ADDRESS

SECOND APPLICANT (if applicable)

TITLE                      

Surname

Forenames

I am 18 years old or over. 

Yes

No

 

ADDRESS WHERE ORDINARILY RESIDENT

 

Post town

 

Post code

 

TELEPHONE NUMBERS

Daytime

Evening

Mobile



FAX NUMBER

E-MAIL ADDRESS

Payment Method On-Line                            By Cheque 
 

 

 

2. PET SHOP PARTICULARS

Name and Postal Address of Pet Shop

Post Code

Telephone No

 

a) Please state number and size of rooms in which the business will be carried on.

 

b) What are the heating arrangements for the premises?

 

c) Please detail the lighting arrangements (natural and artificial).

 

d) What methods of ventilation are at the premises?

 

 

e) What arrangements are in place for the disposal of excreta?

 

 

 


f) Describe the water supply/facilities.

 

g) What arrangements are in place with regards to food storage?

 

 

h) What are the normal times of attendance at the premises when the premises are closed?

 

i) Do you have an action plan to prevent the spread of disease amongst the animals (please give details)?

 

 

j) Fire and safety arrangements (please include the emergency contact details when premises are closed).

 


Types of pets which are intended to be sold and age at which they will be sold, proposed numbers and details of accommodation please complete schedule below.

 

Type of animal

Proposed numbers

Details of accommodation

Age at which proposed to be sold

Parrots

 

Pigeons

Other large birds

Budgerigars, finches and other small birds

Dogs

Cats

Rabbits & cavies

Hamsters

Rats, mice & gerbils

 

Tortoises

Snakes & lizards

 

Tropical

Fish

Marine

 

Cold Water

Any other species (specify)

 

 

I/WE HEREBY DECLARE that I/we am/are over 18 years of age and not disqualified by being convicted of any offence at any time under the Protection of Animals Act 1911; the Pet Animals Act 1951; or the Animal Welfare Act 2006 sections 4, 5, 6(1) & (2), 7 to 9 and 11.

 

I/WE HEREBY APPLY for a licence to keep a pet shop establishment and enclose the appropriate licence fee and a current certificate of insurance.

 

I/WE DO HEREBY CERTIFY that to the best of my/our knowledge and belief, the particulars contained in this application are correct and true. 

 

 

Signed (1st Applicant)           Date:

 

Capacity if applicant(s) sign on behalf of a Company or Partnership

 

Signed (2nd Applicant) Dated

 

Capacity if applicant(s) sign on behalf of a Company or Partnership

Human Check:

 

 

THIS APPLICATION MUST BE ACCOMPANIED BY THE APPROPRIATE FEE

 

 

 

 

 

This Authority is under a duty to protect the public funds it administers, and to this end may use the information you have provided on this form for the prevention and detection of fraud. It may also share this information with other bodies responsible for auditing or administering public funds for these purposes. For further information, see www.middevon.gov.uk/index.cfm?articleid=3746 or contact the Information Management and e-gov Officer on 01884 234916.