Fees change often — always confirm the current amount with the department before you budget.
Hickory County food-facility health permits run about $150–$250 annually, depending on size or sales volume. Plan review runs about $100. Confirm the exact amount with Hickory County Health Department before you budget.
Confirm the authority for your exact address. Some cities run their own health division, and building, planning, fire, sewer/grease and business-license approvals are separate even when Hickory County Health Department issues the health permit.
About 9 food & drinking establishments operate here, serving a population of about 8,718. (U.S. Census 2023 estimate; County Business Patterns 2022, NAICS 722)
Last verified: 2026-08-18 — we re-confirmed the serving authority, its contact, and that the fees below match the current published schedule. Fee schedules may carry an earlier effective date (shown per fee); local ordinances & amendments aren’t individually reviewed, so confirm current rules with the authority having jurisdiction.See something out of date? Report an update →
Restaurant / food-facility permit
Food Establishment Permit
Annual food ordinance fee by priority:
High $250 / Medium $200 / Low $150
Hickory County Health Department (24885 Hwy 254, Hermitage; 417-745-2138) operates a county food ordinance; Annual permit fee tiered by risk priority; Distressed food $50/hour
Plan review — required
$100 (plan review and pre-opening inspection for new establishments)
No separate mobile fee specified; mobile units fall under the county food ordinance fee tiers above
How to apply
See the department site above.
Fees/payment and forms are on the department site; application steps vary by concept — see the checklist below.
How Hickory County’s permit cost compares
At about $150/year, Hickory County’s restaurant health permit is above the Missouri median ($100) and above the U.S. median ($125) — higher than about 66% of U.S. counties.
Ranked 19th-lowest of 25 Missouri counties by permit cost.
Comparison uses the lowest published annual restaurant-permit figure in each county; confirm your exact tier with the department.
Local food-service market
About 9 food & drinking establishments serve ~8,718 residents in Hickory County — one per ~969 residents, sparser than the Missouri average (one per ~610).
U.S. Census 2023 population; County Business Patterns 2022 (NAICS 722).
Budget the permit stack
Start with ~$150 annual health permit + $100 plan review.
Plus building, fire, and business-license fees that vary locally — use the cost calculators and the checklist below to budget the full stack.
Equipment your Hickory County plan review will check
Health-department plan review looks for specific, code-compliant fixtures. Compare spec-filtered options, then confirm counts and sizes with your local requirements. See the full list in what equipment a commercial kitchen requires.
This is a typical sequence — confirm the exact sequence with your authority having jurisdiction.
Confirm whether Hickory County or another local jurisdiction (city/district) handles your exact address.
Confirm zoning and permitted use.
Prepare your menu and scaled plans.
Include an equipment schedule with ANSI/NSF spec sheets.
Submit water-heater and hood documentation.
Pay plan-review fees.
Respond to plan-check corrections.
Obtain Environmental Health plan approval.
Obtain building, plumbing, mechanical and fire approvals.
Schedule rough-plumbing, pre-final and final health inspections.
Pay the operating-permit / application fees.
Receive approval before storing or preparing food.
Frequently asked questions
How much is a food permit in Hickory County?
Annual food ordinance fee by priority: High $250 / Medium $200 / Low $150 These are annual health-permit fees, usually tiered by seating or size; confirm your exact category with the department.
Is plan review required in Hickory County?
Yes — plan review is required before you build or remodel a food facility. Typical fees: $100 (plan review and pre-opening inspection for new establishments)
Do I need a commissary for a food truck in Hickory County?
In most cases, yes — most mobile units must operate from an approved commissary; confirm exemptions with the department. No separate mobile fee specified; mobile units fall under the county food ordinance fee tiers above
Who issues food permits in Hickory County?
Food permits here are issued by Hickory County Health Department. See the department site for current details.
Are city building and fire approvals separate?
Yes — building, plumbing, mechanical and fire approvals are always separate from the health permit and are often handled by different offices.
Published by Resultex Media Group LLC · Independent & vendor-neutral · Educational only, not legal or engineering advice · Last verified September 2026