HomeMy WebLinkAboutApplication for Zoning Compliance - Use Permit RECEIVED
PLANNING AND DEVELOPMENT.SERVICES
2300 Virginia Ave SEP 2 4 20119
Fort Pierce,FL 34982
_.___. .._... _._.'__. .._- Phone: 772-462-2822-Fax: 772-462-1581
ST. Lucie County, PermitUrrg
APPLICATION
FORABUSINESS NAME OR OWNERSHIP CHANGE ONL Y
(Not Home Office Use)
Permit Number: ��d9"U 5�, Date ofApplication: �1a24I(9
BUSINESS INFORMATION'
Name of Business: 5147\0-11-5e Ct (rtiJes S LLr? i`M'
New Business Name (if changin�: ,r { b F� �Thdcht5�-�
tr 16VName of Current Business Owner: s L&k fVzP_ny►(
Name of New Business Owner y� u Jn\e64w44cfS LLC
Address of Business: 3260 N Ryi State: Zip:
Name of Shopping Center, if applicable: rV
Property Tax ID#for Business Location: / a,s'-o?.3 --OOa I- OUB 4i
Description of Business: (include a detailed description) 5CK, rj`1 Q
Name &Type of Previous Business at this Location: 6C l�
Attach a copy of fhe- urrent,active copy of the Business°Tax Receipt for the business/propefty:.4 _, 11-_.i u.
APPLICANT MAILING ADDRESS`
Name of Applicant:
Address: "" ���� State: Zip:
Phone Number: 51-3 X132 Email Address: 01 ll'�lii `�j45f. rj
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 business/property;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 properly maintenan regulations.
Applicant's Signature: �(, Date: 9
= ;OFFICE USE ONLY..
Required Yes No i Comments
POD Initials �� _ Business Tax Receipt
Revised: March 2019