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HomeMy WebLinkAboutZoning Compliance/Use Permit -M- R. . PLANNING AND DEVELOPMENT SERVICES 2300 Virginia Ave APPLICATION FOR ZONING COMPLIANCE—BUSINESS (not in home) Permit#: /107 Date of Application: Name of Business: S f D escription of Business: Address of Business: a/- C Qic L 1p T',6 Number of Employees :/ Number of Parking spaces available for business- Name usinessName of Shopping Center,if applicable: Name&type of previous business in this location: Name of Applicant: Mailing Address: AAn 23-43 6 �/ S'f—� ✓ ����Email: .� n act Inormation-Phone: L� 7 Property Tax ID#for business location: Z(,l :3r.9/'Z 4Q mo If beer,wine or alcohol is being served.at this location a copy of your liquor license issued by the.Division of Alcoholic Beverages and Tobacco will be required prior to approving this zoning compliance. I understand it is my responsibility to contact the Fire Department prior to the issuance of the Zoning Compliance. I further understand that a site inspection may be required to ensure compliance with applicablela development,building safety,and property maintenance regulations. Sign tore Print Date OFFICE USE ONLY: REQUIRED YES NO NOTES Zoning Parkin Land Use Landscaping SIC Code Building Permit for Change of Occu anc Conditional Use Permit AGENT OF RECORD DESIGNATION Signatures must be notarized —LA-- I(We), ),�row�n I n 4/\- CeXLQ--,,hereby designate and appoint as my(our)Agent of Record for the purpose of representing my (our) interests in the change of use process. My (Our) Agent of Record is hereby vested with the authority to make any representations,agreements,,or promises as well as reject or accept any conditions imposed in conjunction with this matter. Dated this day of 20—. Applicant/Owner's Signature 2C� Applicant/Owner's Address Print Name Phone: Agent's Signature Agent's Address Print Name STATE OF Phone COUNTY OF,=%. 14y C,- The forgoing instrument w cknowledged before me this day of 20j--) By X" Who is. personally known to me or who as produced. J .as idet1fi t- Apfication. Signature of Notu �Mommission Number(seal) Expires: 1)PP.EY I UMPHIRIE-Y UM " ' N"Y IC 174772 �s ly % 4 FF 74772 EXPIRES: March 6,2019 Banded Thru Notary Public Unde-TWIRels BOARD OF �_ � PLANNING & DEVELOPMENT , SERVICES DEPARTMENT COUNTY COMMISSIONERS IF L 0 R I . A Building & Code Regulation Division Occupancy Classification Affidavit As provided in Section 310.1 of the 2010 Florida Building Code, a child or adult care facility with 5 or fewer persons shall be classified as Group R-3. 1, c , the owner/operator of the Residential Care Living Facility located at :23 coo affirm that I will ce— operate said facility with no more than five persons of any age for less than 24 hours , V �1fojl 4 CV)oi-- ,--OfvnVr Operator State of Florida County,of St. Lucie On this day of yearaffirmed and subscribed before me.by dMg6�- , who is personally know to me / who produced as identification r ,-z1VE Notary Publ Notary Stamp - JUL 2 6 2017 :tih:PyAs AUDREYB.HUMPHREY .:P •.*_ MY COMMISSION#FF 174772 -,T. March 6,2019 Bonded Thru Notary Public Underwriters CHRIS DZADOVSICY,District No.1•TOD MOWERY,District No.2•PAULA A.LEWIS,District No.3•FRANNIE HUTCHINSON.District No.4•KIM JOHNSON,District No.5 Website:www.stiucieco.aov 2300 Virginia Avenue-Fort Pierce,FL. 34982-5652 Phone(772)462-1553 FAX(772)462-1578 i 1 ! 1 } --.M,, NZAS AUL ►_ Z 10 - n.=AVIENDAAVE } >{ �a � =ALP[oueenTownserwJ iead Start. ;- JUANITA AVE ' lz N Z cn d , ,lo f 'rNN ��� �i wo SAN DIEGO AUE r Ifomi.yr.Mo" ---------------------------------------- FloridaftafthFindergov , L'wr.M:tny ClattlqvNlh hNtllttl;uN hitlnnttm ARCELONAAUE No Data Found ; i /(3RQh�E •Ilr�x�fi ersmr.:i nn 411 tufla7,t'm�dlrvxMr idn�n�tw�. !•— YD TR V.--rl J1.101 I ' Property Card Page 1 of 1 Michelle Franklin, CFA--Saint Lucie County Property Appraiser—All rights reserved. - Property Identification Site Address:2313 N 41st ST Parcel ID:1431-801-0143-000-0 Sec/Town/Range:31/34S/40E Account#:10856 Map ID:14/31S Use Type:0100 - - -- ---- Zoning:RS-4 J Jurisdic$on:Saint Lucie-Count—-—y- — Ownership Assured Properties LLC >' , t.: 6201 Willoughby CIR Lake Worth,FL 33463-9302 Legal Description �1! HARMONY HEIGHTS NO 4 BLK 12 LOT 14(OR 3977-2797) 'a Current Values Just/Market Value: $43,700 Assessed Value: $43,700 Exemptions: $0 Taxable Value: $43,700 Taxes for this parcel: SLC Tax Collector's Office© Total Areas . Download TRIM for this parcel:Download PDF© Finished/Under Air(SF):. 1,443 Gross Area(SF): 1,443 Land Size(acres):. 0.18 Land Size(SF): 7,755 This information is believed to be convect at this time but it is subject to change and is not warranted. ©Copyright 2017 Saint Lucie County Property Appraiser.All rights reserved. REC -C ///X'� C JUL 2 6 2017 ��/- �l��' • L?c�� C� its ......... ---' http://www.paslc.org/RECard/ -/� 7/26/2017