HomeMy WebLinkAboutZoning Compliance/Use Permit/ Name Change Only RECEIVED
PLANNING AND DEVELOPMENT SERVICES
2300 Virginia Ave OCT 18 2020
* Fort Pierce,FL 34982
St.Lucie County
Phone: 772-462-2822—Fax: 772-462-1581 Permitting
PPLI T A CA 10N
FORA BUSINESS NAME OR OWNERSHIP CHANGE ONL Y
(Not Home Office Use) Q
Permit Number: D ® Date of Application: �+ 0
B_I!1S'I t-S `IN 0 WTW-
Name of Business: pp
New Business Name (if changing): ONVZ 6 L
Name of Current Business Owner: — M T -?P t
omi
Name of New Business Owner — A fv kCo L
Address of Business: (,oMw�,7e:c(m C.kc fl-AV 6 State: Cl Zip:
Name of Shopping Center, if applicable:/<i OSTU
Property Tax ID#for Business Location: 5— ,>1 — 2,
Description of Business: (include a detailed description)
Name &Type of Previous Business at this Location: V —
Attach a copy of the current,active copy of the Business Tax Receipt for the business/property.
APP,LICANI'MAILING ADDRESS
Name of Applicant: — SA
Address: &n �, P o(`t j_0 �fAUAJJ5;� &VO ()loll?OC State: f 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 saf In roperty intenance regulations.
Applicant's Sign ure: Date: 10/-1 g
OFFICE LASE OO NiI,
Required Yes No Comments
POD Initials Business Tax Receipt
Revised: March 2019