Madison County Health Department (Food Division) · department site →
Fees change often — always confirm the current amount with the 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 Madison County Health Department (Food Division) issues the health permit.
About 216 food & drinking establishments operate here, serving a population of about 132,504. (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amendments aren’t individually reviewed, so confirm current rules with the authority having jurisdiction.See something out of date?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 →
Mobile units covered under the annual food establishment application
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.
Local food-service market
About 216 food & drinking establishments serve ~132,504 residents in Madison County — one per ~613 residents, sparser than the Indiana average (one per ~577).
U.S. Census 2023 population; County Business Patterns 2022 (NAICS 722).
Equipment your Madison 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 Madison 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
Is plan review required in Madison County?
Yes — plan review is required before you build or remodel a food facility. Typical fees: $150.00
Do I need a commissary for a food truck in Madison County?
In most cases, yes — most mobile units must operate from an approved commissary; confirm exemptions with the department. Mobile units covered under the annual food establishment application
Who issues food permits in Madison County?
Food permits here are issued by Madison County Health Department (Food Division). 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