HomeMy WebLinkAboutZoning Compliance/Use Permit F" ECEIVED
Elffilim KRI
PLANNING ASND DEVELOPMENT SERVICE AUG 2 8 2019
2300 Virginia Ave
_ Fort Pierce,FL 34982
• - Permitting Department
- ...__.._ _..._...- _..-_._..... Phone: 772-462-2522-Fax: 772-462-1581.
St. Lucie County, FL
APPLICATION
FORA BUSINESS NAME OR OWNERSHIP_ CHANGE ONLY
/ r� /v (Not Home Office Use)
Permit Number: ( r/ �9-5 Date of plication:
,JxxBLSIIITESSII�F®RYTA I IOC.
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Name of Business:
New Business Name(if changing): p
Name of Current Business Owner: ILIvy)
Name of New Business Owner , , ' Q,
Address of Business: `? tj State: 1 L-- Zip: 3Hq C°
Name of Shopping Center, if applicable: }
Property Tax ID#for Business Location: N KI -
Description of Business (include a detailed description)
Name &Type of Previous Business at this Location: u ti
Attach a copy of the current,active copy of the Business Tax Receipt for the business/property.
tvAPPLICANT NfAlLlNQAD1}RESS
Name of Applicant: 7 tec,,kf
Address: ,t.�14�. rt �; av! C�St1aC State: Zip:
Phone Number: ErMr a Address:
This application is only to update an owner name or business name. To qualify for this application, there must be an active
business tax receipt for the businessiproperty;no change of use(change or modification of the character,type or intensity of an
existing use or the inclusion of additional uses) may be proposed; and no erection, alteration, construction, reconstruction or
any type of development involving a building, structure, paved parking area, driveway connection,or
a on impact u protected
P P
natural habitat. I further understand that a site may inspection be re
p y required ed to ensure compliance with applicable land
development,building safety,and property maintenance regulations..
Applicant's Si nature:
Signature:
Date:
QFFT'C VS1 ,ONLY_
Required Yes 1 No Comments
I OD Initials Business Tax Receipt i
Revised:March 2019