HomeMy WebLinkAboutZoning Compliance/Use Permit Y
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PLANNING AND DEVELOPMENT SERVICES
2300 Virginia Ave
° Fort Pierce,FL 34982
Phone: 772-462-2822—Fax: 772-462-1581
APPLICATION
FOR A BUSINESS NAME OR OWNERSHIP CHANGE ONL Y
(Not Home Office Use)
Permit Number: a CQ-7- Date of Application: 7 map
BUSINESS INFORMATION, n
jVame of Business: ?t "v$OuS i2 P.VC
New Business Name (If changing): u 66sAA A tz.r
Name of Current Business Owner:
?tisorz.
Name of New Business Owner :IlovtcAt- So` Iw 71080 LLc SuTEI.fl�r�+,,,scy?rRrNr+rtSutP s�rG
Address of Business: -7&ff0 (,US ( ,Ogf S; IttCS'e State: tL Zip: q952
Name of Shopping Center, if applicable: A
Property Tax ID#for Business Location: K -
Description of Business: (include a detailed description) Q q
Name &Type of Previous Business at-this Location: o -r aaeh . S 5rdleA4F
• ' t- LSi
Attach a copy of the current,active copy of the Business Tax Receipt for the business/property.
APPLICANT MAILING ADDRESS"
Name of Applicant: T ,R
Address: II S� 2 rr Z f), FPC& Rp State: _� Zip: 1 Qo y
Phone Number: �( y - / 3S Email Address: CCOIr2R 3EC ou2Sro R/aGsE .
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,a d roperty m 'ntenan a reg ations.
Applicant's Signature: Date: i 14201
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OFFICE USE ONLY.
,..__ _.Required_ vv Yes I No Comments
E POD Initials _._.'...'.._..__.__....__..— BusinessµTax Receipt+ ^ _ i I i
Revised: March 2019