HomeMy WebLinkAboutApplication for Zoning Compliance - Use Permit PLANNING AND DEVELOPMENT SERVICES
2300 Virginia Ave
• Fort Pierce,FL 34982
Phone:772462-2822-Fax: 772462-1581
APPLICATION
FORA BUSINESS NAME OR OWNERSHIP CHANGE Oft V
(Not Home Office Use)
Permit Number. a Date of licaton:IN 1$ a(1
a
BUSINESS INFORMATION
Name of Business:
New Business Name(if changing): Q
Name of Current Business Owner:
Name of New Business Owner k, vt(r%.
Address of Business: �s .`� �� .\ >;ls�� S L State: Zip: 3 `fF 5'2
Name of Shopping Center, if applicable: 5 rAv A wwr-a- \✓�-:_ �.:
Property Tax ID#for Business Location: -_- u '5
Description of Business: (include a detailed description)
Name&Type of Previous Business at this Location: k o✓
Attach a copy of the current,active copy of the Business Tax Receipt for the business/property.
APPLICANT MAILING ADDRESS.'
Name of Applicant: vp c
Address: 2F0 Q �� ;,,, ('c�uw�c i .z- " ! / 3 State: 7 i Zip:
Phone Number: (-f,-a-i S zz Email Address: £ s>o `-� e &u l • c C__
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 situ inspection may be required to ensure- compliance with applicable land
development,building safety,and property in ' tenance regulations.
Applicant's Signature: Date:
"OFFICE USE ONLY.
Required Yes Nod Comments
POD Initials Business Tax Receipt
Revised:March 2019