HomeMy WebLinkAboutZoning Compliance/Use Permit PLANNING AND DEVELOPMENT SERVICES
2300 Virginia Ave
EOUNTY 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. v -1 V '` Date of Application: `
rk u E� x etar a m gi4n��sg� PIONEER_
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Name of Business: 9 d_)Q� h 0 91 A-0- ml
_ E ciTY iA14
New Business Name(if changing): 5 Ct_
Name of Current Business Owner: L/W !p C2
Name of New Business Owner- MvlQ// j�) h1k_4_
Address of Business: ® � 5p, j [Jy /-i w State: r l Zip: 3f s
Name of Shopping Center, if applicable: r, f 4 2,4
Property Tax ID#for Business Location: - ;L//t a D
Description of Business: (include a detailed description) jQ
Name &Type of Previous Business at this Location: C_
13 A1,;t Y lisle
Attach a copy of the current,active copy of the Business Tax Receipt for the business/property.
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Name of Applicant: `3 v14f( If 21zpyye
Address: ,a 3 5,/ , �f1T/! .�G9��U/l(E' G�� o 51-Lve State: Z Zip: 3 $'
Phone Number: Ll ya a Email Address: ?lq1�/I t0 E !l•Cotes
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 property maintenance regulations.
Applicant's Signature: j---N Date: a p 2
.pay
quired '� 'sLx :r
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�Rej Yes No Comments
POD Initials Business Tax Receipt
Revised:March 2019