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HomeMy WebLinkAboutZoning Compliance/Use Permit PLANNING AND DEVELOPMENT SERVICES 2300 Virginia Ave COUNTYFort Pierce,FL 34982 Phone:772-462-2822-Fax: 772-462-1581 APPLICATION FORA BUSINESS NAME OR OWNERSHIP CHANGE ONLY R (Not Home Office Use) r. � �Permit Number �� © � ` ' Date of Application: y J'. -.; '-•� 4`.�'+y3.k,.M+Y "".'"='f.'e. - ''"`>' F.T',. .,S Y"�..i ' 7' '4az9' �, �``,rhya.._p>'t` `"�`1 --�'`t' '�'+�,f4.4ct5 ��N Name of Business: ST Lt, L Z ( rvSS New Business Name(it changlhM: l W [ ne_5� k d e a4 U Name of Current Business Owner: 14 A it �f r Z A Name of New Business Owner (tom m e® Ae S Address of Business: �0�7 l �> Q . State: FL Zip: S� Name of Shopping Center, if applicable: Property Tax ID#for Business Location: Q,2.0- d ©` Description of Business: (include a detailed description) " I Y-o Name &Type of Previous Business at this Location: C_ (A-k<-0 tk� Attach a copy of the current,active copy of the Business Tax Receipt for the business/property. z�ti„ t -`- y `•'^€r.�a �,--'•`ASS ,*' c^v7"'�� a:.'a' �` 5t' rr-' ?+"� ir.+ 1p lEATVT iVfAll tx DES z k 0M, m " Name of Applicant: Address: State: Zip: Phone Number: Email Address: 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 e m e regul ' ns � Applicant's Signature: Date: �',F`KO ;,P�4�_•+..,r.� `''. ' 001 Required Yes No Comments POD Initials Business Tax Receipt Revised:March 2019