HomeMy WebLinkAboutZoning Compliance/Use Permit PLANNING AND DEVELOPMENT SERVICES
2300 Virginia Ave
• Fort Pierce,FL 34982
Phone:772-462-2822-Fax: 772-462-1581
APPLICATION
FORA BUSINESS NAME OR OWNERSHIP CHANGEONLY
(Not Home Office Use)
Permit Number. aQ Date of Application:
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Name of Business: r °�•T ^ ' d C gu
i New Business Name(if changing):
Name of Current Business Owner:
Name of New Business Owner
Address of Business: C®7 a-/0-7,y.D _S d 077, C)�5. 11)1jr- State: t1 Zip: < �'
Name of Shopping Center, if applicable: " a
Property Tax ID#for Business Location: .. o^ ®2 - 2
Description of Business: (include a detailed description) "
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.
Name of Applicant: 7_ 4IFY Y ez
Address: 9&Y'y jcv �a,�27G,� � � � State: _ Zip:
Phone Number: y ^2e)®a ® Z 3 �E a Address: ,/ ^
This application is only to update an owner nameor 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 property maintenance regulations.
Applicant's Signature: Date: e)1
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Required Yes No Comments
POD Initials Business Tax Receipt
Revised:March 2019