HomeMy WebLinkAboutZoning Compliance Mobile Food Vendor 1 Permit Fee: $75.00
Receipt#:
ST.LUCIE COUNTY PLANNING&DEVELOPMENT SERVICES
-- -- - - --BUIL -&GODE-REGULATIONS-DIVISION------------_-- --
2300 VIRGINIA AVENUE
FORT PIERCI,FL 34982-5652
- - 772-462-1553
APPLICATION FOR CLASS H MOBILE FOOD.VENDOR
- - --- --- -
- ZONING COMPLIANCE
Date:
Business Name: VAC. lP 5 c^
Business Address:
City:%A =fir=,...'� `Ll� State: 5k Zip: A,5a Ph a no:
Description of Mobile Food Business: Y "b3 )d x � )n.y.A1cnw
v
Previous Business:
Applicant's Name:. Phone: �-1 L `777
Applicant's Street Address: TN)Q3 141:L— c VC `,Vo
City: � t/1'jq 1� � G1� State: �— zip:
Property Tax Identification#: � J l/ f V ! , 0—
I hereby acknowledge that the above is correct and agree to conform to the St.Lucie County Building
and Regulations Code.
"COPY OF STATE.OF-FLORIDA FOOD HANDLER'S.LICE. . CCOMPANY THIS PLICATION.
Applicant's Sign tore
Date: �. 17 Initials: CAN .
Zoning: Land Use: (1)1�r? SIC Code: Site Plan:
Subdivision: Lot: Block: Sec/Twn/Rng:
Certificate of Competency Required: Yes No Number Type
Landscaping Required: Yes_No Building.type: CBS . Wood frame:.
Building&Regulations Code Division,Code Enforcement Officer
SLCPDS Revised 5/19/2010 iii C vk .
OCT 17 2017