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HomeMy WebLinkAboutZoning Compliance/Use Permit d/03-0093 PLANNING AND DEVELOPMENT SERVICES c "7 2300 Virginia Ave • Fort Pierce,FL 34982 Phone: 772-462-2822—Fax: 772-462-1581 APPLICATION FORA BUSINESS NAME OR OWNERSHIP CHANGE ONLY (Not Home Office Use) Permit Number. Date of Application: BUSINESS INFORMATION Name of Business: Americarin Treatment Centers New Business Name(if changing): Validity Laboratory Services, LLC Name of Current Business Owner: Sherry Piasecki Name of New Business Owner Sherry Piasecki Address of Business: 8625 S Federal Highway State: Florida Zip: 34952 Name of Shopping Center, if applicable: Crown Plaza Property Tax ID#for Business Location: 3414-501-1912-500/6 Description of Business: (include a detailed description)Laboratory testing CBD/Hemp for purity. Will also be testing patient specimens delivered to us. Examples will be basic blood profiles, respiratory specimens for all respiratory illnesses ie.flupneumonia, etc. Name&Type of Previous Business at this Location: Americann Wellness Clinics medical consultation and uidance for patients seeking medical marijuana. Attach a copy of the current,active copy of the Business Tax Receipt for the business/property. APPLICANT MAILING ADDRESS Name of Applicant: Validity L boratory Services, LLC Address: 8625 S Federal Highway State: Florida Zip: 34952 Phone Number: 772-281-1.520 Email Address:debbie@validitylaboratoryservices-.com 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,and roperty mainte ce regulations. Applicant's Signat e: Date: 013 7. ao Q j OFFICE USE ONLY: Required Yes No Comments POD Initials Business Tax Receipt Revised:March 2019 ,L° . -. ..