HomeMy WebLinkAboutZoning Compliance - Name change only RECEIVED
PLANNING AND DEVELOPMENT SERVICES APR _ 6 2021
2300 Virginia Ave Permitting Cepartment
• Fort Pierce,FL 34982 St. Lucie Ccurrty
Phone: 772-462-2822—Fax: 772-462-1581
APPLICATION
FORA BUSINESS NAME OR OWNERSHIP CHANGE Oft Y
(Not Home Office Use)
Permit Number: Date of Application:
7-
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Name of Business: le'S ( 1 'S O� "C'�LL� y
New Business Name(If changing):
Name of Current Business Owner: C-7 L GL I QLS
Name of New Business Owner (� f y � �-
Address of Business �q C/ �-wC� t �l S? �'� State: �C. Zip: 3 ,J
Name of Shopping Center, if applicable:
Property Tax ID#for Business Location: 70 C0
Description of Business: (include a detailed description) "
Name.&Type of Previous Business at this Location: Im
Attach a co of the current,active cop of the Business Tax Receipt for the business/property.
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x -- 3 4 APPLICANT MAILIN��►DDRES z.:w
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, n)property mai ance regulations.
Applicant's Signature: �
jUSE�OZ ,�
Required Yes No Comments
POD Initials Business Tax Receipt
Revised:March 2019