HomeMy WebLinkAboutZoning Compliance/Use Permit i
_ PLANNING AND DEVELOPMENT SERVICES
2300 Virginia Ave
• Fort Pierce,FL 34982
- - Phone: 772-462-2822-Fax: 772-462-1581
APPLICATION
FORA BUS/NESS NAME OR 0WNERSH/P CHANGE ONL Y
(Not Home Office Use)
Permit Number: -- Date of Application:
BUSINESS INFORMATION
Name of Business:
New Business Name (if changing):
Name of Current Business Owner:
Name of New Business Owner ('
Address of Business: 9RZ5 SP V kr� Stater Zip: �j�'DlBj
Name of Shopping Center, if applicable:
Property Tax ID #for Business Location: s Opti -p 4*
Description of Business: (include a detailed description) CG 19acelA
P
Name &Type of Previous Business at this Location:
Attach a copy of the current, active copy of the Business Tax Receipt for the business/property.
APPLICANT MAILING ADDRESS
Name of Applicant:
Address: �ZZ4'S-G PP10 C+ IgW State: Zip: i3
Phone Number:. d - 2 2 Email Address: RpCV. �� P .Q
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 impact upon a protected
natural habitat. I further understand that a site inspection may be required to ensure compliance with applicable land
development,building safety,and enance regulations.
Applicant's Signature, Date:
OFFICE USE ONLY:
Required Yes No Comments
POD Initials K Vv% Business Tax Receipt
Revised: March 2019