Who needs a food establishment permit in North Carolina?

Issued by The county health department’s environmental health office, under the North Carolina Food Code (15A NCAC 18A .2600), at step 4 of 6 in the opening sequence: get the permits for your kind of business.

8 of the 20 kinds of business in North Carolina

Submit plans and a menu to the county before building out or converting a space; franchised and chain plans go to the state plan review unit as well. The permit is issued after the opening inspection and is not transferable: a new owner applies for a transitional permit. Food eaten on the premises is permitted here; food sold to take away is inspected by the Department of Agriculture, and whichever makes up most of the sales decides.

Checked Oct 17, 2026 against the agency’s page.

Step 4 of 6: Get the permits for your kind of business

  1. Set up the business
  2. Register for tax
  3. Approve the space
  4. Get the permits for your kind of business
  5. Alcohol permits
  6. Before the first hire

Issued by The county health department’s environmental health office, under the North Carolina Food Code (15A NCAC 18A .2600).

Sources and dates

NC DHHS Environmental Health Section plan review unit; county plan review applications (Rowan, Durham, Forsyth). Checked against the agency’s page on the date shown; cities add their own fees.

Questions about opening here.