HomeMy WebLinkAboutBUILDING PERMIT APPLICATION i
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PLANNING AND DEVELOPMENT SERVICES RECEIVED
2300 Virginia Ave
'COUNTYTo Fort Pierce,FL 34982 S E P 3 0 2021
Phone:772-462-2822-Fax: 772-462-1581 ,t t Cdynrr
1' Permitting
APPLICATION !
FORA BUSINESS NAME OR OWNERSHIP CHANGE ONLY .
a (Not Home Office Use)
Permit Number: a�� 1J 5 Date of A licalion: j 3a a
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Name of Business: J�'� Ve n+��r�S ✓�c. !
New Business Name(if changing): L L-C
Name of Current Business Owner: Doti Sc k SL K -I. 1)4y,;J
Name of New Business Owner r�Q /ct�dS GL
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Address of Business: Coy 0qP. c+'d0 C7crye Su fe State: ;:L-1 Zip:
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Name of Shopping Center, if applicable:
Property Tax ID#for Business Location: l 336- t- $oa-0O0o2-Cc c - 8
Description of Business: (include a detailed description) �a��an� dnK F, fi Sa�(PS —C covn+�,Prc
Name &Type of Previous Business at this Location: Saryt e
Attach a copy of the current, active copy of the Business Tax Receipt for the business/property.
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Name of Applicant: .0 Cryl o-r,- - ::&-v -Hto—ds
Address: /6;0 QO-` A,.,2e,rc� 13C,_c (.� _ State: C Zip: 3 q'G(�e
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 businessiproperty;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 ro rty maintenance regulatio s.
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Applicant's Signature: - � Date:
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-er _R ��Ni w ...-
Required Yes No Comments
POD Initials I Business Tax Receipt
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Revised: March 2019