HomeMy WebLinkAboutZoning Compliance Mobile Food Vendor 2 - 0 3. D-7�3
zF :x,r ST.LUCIE COUNTY PLANNING&DEVELOPMENT SERVICES
BUILDING&CODE REGULATIONS DIVISION
2300 VMGINIA AVENUE
FORT PIERCE,FL 34982-5652
772-462-1553
APPLICATION FOR CLASS II MOBILE FOOD VENDOR
ZONING COMPLIANCE
Date: 3-4-2021
Business Name: US 1 Golf,
Business Address: 3847 N H WY US-1
city: Fort Pierce State: FL zip:34946 Phone no: 772-409-4320
Description of Mobile Food Business: Mohile food trail
er
Previous Business: Blasters
ApplieanfsName: Joseph Siwicki Phone: 772-409-4320
Applicant's Street Address: 3847 N H WY_U_ S 1
city: Fort Pierce State: FL zip: 34946
Property Tax Identification#: . 1421-323-0002-000/2
I hereby acknowledge that the above is correct and agree to conform to the St.Lucie County Building
and Regulations Code.
**COPY OF STATE OF FLORIDA FOOD HANDLER'S LICENSE ST ACCO ANY THIS APPLICATION.
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Appli nt's Signature
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Office Use Only
Date: US 1 Golf
Initials:
Zoning: Land Use:
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SLCPDS Revised 7/21/2014
312212021 Detail by Entity Name
DIVISION 00 C000RATIONS
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D 0,.ariment of Slate I 01yWon of corporations t Search Records I Search h"y-En-Ay--Name I
Detail by Entity Name
Florida Limited Liability Company
FORT PIERCE DRIVING RANGE PROPERTY,LLC'
Ejbg Information
Document Number L05000094673
FEIIEIN Number 35-2262916
Date Filed 09112/2005
'State FL
Status ACTIVE
PrIng pal Address
6460 NW 62ND TERRACE
PARKLAND, FL 33067
Mailing Address
6460 NW 62ND TERRACE
PARKLAND, FL 33067
Regist ere gd. gent Name&Address
HAMBY,LOUIS LIII,ESQ
0/.ALLEY, MAASSj ROGERS&LINDSAY
321 ROYAL POINCIANA PLAZA SOUTH
PALM BEACH,FL 33480
Authorized Person(a)Detal
Name&Address
Title MGR
JIMENEZ, ROBERT
8649 NW 58 COURT
PARKLAND, FL 33067
Annual Repqft
Report Year Filed Date
2019 03/19/2019
2020 03123/2020
2021 03/22/2021
Document Images
Q7212021—ANNUAL REPORT riew image in PDF format
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Description of a Mobile Food Dispensing Unit
Any food service establishment that is self propelled or otherwise moveable from place to place,.that is
self contained and.does not.use electrical or other utility connections of'any kind,in which food is
prepared and/or dispensed,and that.complies with all applicable requirements set forth by the Florida
Department of Business Regulations.,division.of Hotels and Restaurants,or its successor agency,
' ed to those regulations set forth in Rule 7C-1.Q3 Florida Administrative Code.
including bu
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Property Owner Information:
Name: Fart Pierce Driving Range Property, LLC Phone No: 954-448-8441
Address: 6460 NW 62nd Terrace
City: Parkland State: FL Zip Code: 33067
Date; �tr f
I, Robert Jimenez,Managornf Fort Pierce Driving Range Property,«G owner of the following described property,authorize
U.S. 1 Golf, LLC to place a mobile food/produce unit on my property.
Property Tax Identification#: 4 2 1 3 2 3 0 G 0 2 - 0 0 0 / 2
Legal Description: 3847 N US Highway 1, Foit Pierce, FL 34964-legal description attached as Ex. A
Property Owner's Name(Please Print) P e>I`ty Owner's �gnature
State of Florida,County of.Broward
The foregoing instrument was ackn ledged before me this!_L—day of
who is personally known.to me or who has produced
as identification.
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Signature of otary Type or print Name of Notary
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Title: Notary Public Commission Number: (-,Cr 353075
SLM Revised 07n 112014 MERRY
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Plot Plan
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Lot size
dimensions
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Lot size dimensions
Street Name: US — I
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Office Use Only
Property dimensions
Location of Existing Structures and Ground Signs
Location of Mobile Food Facility and Setbacks to Property Line
Parking
Landscaping
SLCPDS Revised 07/2112014
State of Florida
Department of State
I certify from the records of this office that U.S. 1 GOLF, LLC is a limited
liability company organized under the laws of the State of Florida, filed on
November 8, 2018.
The document number of this limited liability company is L 18000262706.
I further certify that said limited liability company has paid all fees due this
office through December 31, 2021, that its most recent annual report was filed
on March 10, 2021, and that its status is active.
Given under my hand and the
Great Seal of the State of Florida
at Tallahassee, the Capital, this
the Tenth day of March, 2021
Secretary Of State
Tracking Number:7382971722CR
To authenticate this certificate,visit the following site,enter this number,and then
follow the instructions displayed.
https://se rvices.su nbiz.org/Filings/Certi tica teOfStatus/CertificateAuthentication
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