HomeMy WebLinkAbout664D County Zoning Compliance FormPLANNING AND DEVELOPMENT SERVICES
2300 Virginia Ave
Fort Pierce, FL 34982
Phone: 772-462-2822 — Fax: 772-462-1581
APPLICATION FOR ZONING COMPLIANCE (Not Home Office Use)
Permit #: Date of Application:
BUSINESS INFORMATION
Name of Business: Wireless Vision LLC
Name of Shopping Center, if applicable:
Address of Business: 6632 S. US Highway 1 Port St. Lucie State: FL Zip:
Property Tax ID # for Business Location:
Description of Business: T-Mobile retail store managed and operated by authorized dealer, Wireless Vision LLC
Are you relocating your business? No
Number of Employees: 6 Number of Parking Spaces:
Name & Type of Previous Business at this Location: no change - new owner
34952
I APPLICANT / AGENT INFORMATION I
Name of Applicant: Lava Francis
Address: 40700 Woodward Ave, Suite 250 Bloomfield Hills State: MI Zip: 48304
Phone Number: 248-406-4630
Email Address:
If beer, wine or alcohol is being served at this location a copy of your liquor license issued by the Division of
Alcoholic Beverages and Tobacco will be required prior to approving this zoning compliance.
I understand it is my responsibility to contact the Fire Department prior to the issuance of the Zoning
Compliance. I further understand that a site inspection may be required to ensure compliance with applicable
land development, building safety, and property maintenance regulations.
Signature:
Date: -q 4t2J0 Z\
OFFICE USE ONLY:
POD Initials
Required
Yes
No
Comments
Zoning
Parking
Land Use
Landscaping
SIC Code
Building Permit for Change of Occupancy -
Targeted Industry
Conditional Use Permit
Adult Care Services Provided (Home)
New Business ❑ Expanding Business ❑ - Please Check One
New Building ❑ or Improvements to an Existing Building ❑ - Please Check One
Revised: 5/11/2016 11:59:24 AM