HomeMy WebLinkAboutApplication for Zoning Compliance - Use Permit _ PLANNING AND DEVELOPMENT SERVICESFRECEIVED2300 Virginia
Ave
Fort Pierce,FL 34982 6 2��d
Phone: 772-462-2822-Fax: 772-462-1581nty, Permitting
APPLICATION
FORA BUS/NESS NAMEOR OWNERSHIP CHANGE ONLY
(Not Home Office Use)
Permit Number: &LO d - d OCo Date of Application: 1 et ad
BUSINESS INFO d%IATION
Name of Business: Co �r5 h D _ e—
New Business Name()f changing):
Name of Current Business Owner: �tf
Name of New Business Owner
Address of Business: c�&T3 4—/10144r,I$Cgt*� 4ate: _ Zip:
Name of Shopping Center, if applicable:
Property Tax ID #for Business Location: � 5 d r6 -
a
Description of Business: (include a detailed description)
0
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.
t _ APPLICANT MAILING ADDRESS"P 'A
. roe
Name of Applicant: _ Z
Address: L01 Stater Zip:
Phone Number: f r Email Address:-¢ ;An ve ` .S e
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. 1 further understand that a site inspection may be required to ensure compliance with applicable land
development,building afety,and propert aint nance regulations.
Applicant's Signature: ate: b,�
OFFICE
_ Required _ Yes_ No comments
POD Initials Business Tax Receipt
Revised: March 2019