HomeMy WebLinkAboutZoning Compliance/Use Permit _ PLANNING AND DEVELOPMENT SERVICES
"T�i�c M`^""""�� 2300 Virginia Ave
• Fort Pierce,FL 34982
Phone: 772-462-2822—Fax: 772-462-1581
APPLICATION
FOR A BUSINESS NAME OR OWNERSH/P CHANGE Oft Y
(Not Home Office Use)
Permit Number: Date of Application:,
r
£BUSINESS INFORMATION.
Name of Business:
New Business Name(if changing): t f�>iMl } rcJ CI
Name of Current Business Owner: btl,, Too j4lc
Name of New Business Owner
Address of Business: /ar6, 7 .S dCO7,j ot(- t3�-d State: ��_ Zip:
Name of Shopping Center, if applicable:
Property Tax ID #for Business Location: L'QV d Q
Description of Business: (include a detailed description) )
LQS W OFF 1W - 3- 0
f I PLC
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 ADDRESSz , x, , :x
Name of Applicant:
Address: 7 ( State: rr Zip:
Phone Number: Email Address:
This application is only to update an o ner name or business name. To qualify for this application,there must be an active
business tax receipt for the businesslpr perty;no change of use(change or modification of the character,type or intensity of an
existing use or the inclusion of additi nal uses) may be proposed; and no erection, alteration, construction, reconstruction or
any type of development involving ajbuilding, structure, paved parking area, driveway connection, or impact upon a protected
natural habitat. I further understaVA that a site inspection may be required to ensure compliance wit app'cable land
development,building safety,and operty m ' ce regulations.
Applicant's Signature: Date:
A OFFICE LTSE ONLY p ,
t
Required I Yes No I Comments
iPOD Initials _ Business Tax Receipt V
�L. 0
Revised: March 2019