HomeMy WebLinkAboutZoning Compliance/Use PermitPLANNING AND DEVELOPMENT SERVICES
2300 Virginia Ave
Fort Pierce, FL 34982
Phone: 772-462-2822 —Fax: 772-462-1581
APPLICATION FOR ZONING COMPLIANCE (Not Home Office Use)
Permit #: f -7 Date of Application:.
BUSINESS INFORTITIQN
Name of Business: S 4 Md�aj
CAS A64
Name of Shopping Center, if applicable:
Address of Business: 3R -S-0 .SuAe. State: Zip:
Property Tax ID # for Business Location:
Description of Business: (N_"�tK
Are you relocating your business?
Number of Employees: �,- Number of Parking Spaces: /
Name & Type of Previous Business at this Location:
APPLICA /AGENTINFORMATION.
Name of Applicant:
Address: LLII:� VZTC. State: Zip: 3L� C�
Phone Number: 60_. 7�4_ LEmail Address: !n
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.
1 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 applicable
land development, building s9fAtty, and prg;ferty maintenance regulations.
Signature:
Date: /o a G t
Revised: 5/11/2016 11:59:24 AM
OFFICE.USE ONLY _ J
y „aComments
POD Initials
Required Yes No
Zoning
Parking
Land Use
Landscaping
SIC CodeBuilding
Permit for Change of Occupancy
Targeted Industry
Conditional Us ermit
Adult Car ervices Provided {Home}
New Business ❑ Expanding Business - Please Check One
New Building ❑ or Improvements to an Existing Building ❑ - Please Check One
Revised: 5/11/2016 11:59:24 AM