HomeMy WebLinkAboutZoning PacketAGENT OF RECORD DESIGNATION
Signatures must be notarized
I (We), E-0e m . b ;alc, �Mc jU, , hereby designate and appoint
Q�O e , as my (our) Agent of Record for the purpose
of representing my (our) intefdsts in the change of use process. My (Our) Agent of Record is
hereby vested with the authority to make any representations, agreements, or promises as well as
reject or accept any conditions imposed in conjunction with this matter.
Dated this l0"' day of �201 $.
RS6 Q11&�_
Applicant/Owner's Signature a
Print Name
Agent's Signature
Print Name
STATE OF Ct.
COUNTY OF L e,
The forgoing instrument was acknowledged
before me this 10 fl-i day of f, 20 R.
BY !EV. CY (GLra% SA -row, �,ti,
Who is rsonally know to me or who as
produced —
as identification.
Signature of Notary
Commission Number (seal)
Expires: 2 1,q
Ca �35 V--Wo (-GYP
Applicant/ Owner's Address
qql C)A.i 1, CJCJ �) A L-f �b ow-?
Phone:
Agent's Address
Phone
ERICA THOMPSON MURDAUGH
Notary Public • State of Florida
' Commission * FF 926922
My Comm. Expires Oct 13. 2019
y�f„q;,;,`,. •` Somm thro* National Notary Assn.
planning & Development
PLO NING AND DEVELOPMENT SERVICE Services
2300 Virginia Ave
Fort Pierce, FL 34982 JAN 17 2019
Phone: 772-462-2822 — Fax: 772-462-1581
RECEIVED
APPLICATION FOR ZONING COMPLIANCE — BUSINESS (not in home)
Permit #: 19 a I_ L3 60 Date of Application:
Name of Business:
Description of Business:
Address of Business:
Number of Employees / Number of Parking spaces available for business
Name of Shopping Center, if applicable: -C12)L CV P I (kI G
Name & type of previous business in this location:
zip 3-ctis 9
Name of Applicant: ('k C }C c(A c Y"� CLq
Mailing Address: Ci 3 t� c ;J . S FlS t,> nLLn ue
Contact Information - Phone: 91 g _ U �-6-UtD l a Email: 6 tom{ (A5�'"u l n ®ucihcT f). CnM
Property Tax ID # for business location:__ 3 Li (9 5G, 11 cl l 2S DO b
If beer, wine or alcohol is being served at this location a copy of your liquor license issued by the Division of Alcoholic
Beverages and Tobacco will be required prior to approving this zoning compliance.
I understand it is my responsibility to contact the Fire Department prior to the issuance of the Zoning
Compliance. I further understand that a site inspection may be required to ensure compliance with
applicable land development, building safety, and property maintenance regulations.
Signature
OFFICE USE ONLY:
< `l� a2 , Ckn 0. ' c)! +.
c�hc
Print U Date
REQUIRED
YES
NO
NOTES
Zoning
Parkin
Land Use
Landsca in
SIC Code
3
Building Permit
for Change of
Occu anc
5YL
;{
`J
Conditional Use
Permit
0 •
Electronic Articles of Organization
For
Florida Limited Liability Company
Article I
The name of the Limited Liability Company is:
REVELSPSL LLC
L18000214325
FILED 8:00 AM
September 10, 2018
Sec. Of State
rekemple
Article II
The street address of the principal office of the Limited Liability Company is:
933 SW JASLO AVE.
PORT SAINT LUCIE, FL. US 34953
The mailing address of the Limited Liability Company is:
933 SW JASLO AVE.
PORT SAINT LUCIE, FL. US 34953
Article III
The name and Florida street address of the registered agent is:
UNITED STATES CORPORATION AGENTS, INC.
13302 WINDING OAK COURT
A
TAMPA, FL. 33612
Having been named as registered agent and to accept service of process for the above stated limited
liability company at the place designated in this certificate, I hereby accept the appointment as registered
agent and agree to act in this capacity. I fiirther agree to comply with the provisions of all statutes
relating to the proper and complete perforniance of my duties, and I am familiar with and accept the
obligations of my position as registered agent.
Registered Agent Signature: CHEYENNE MOSELEY, US CORP. AGENTS
Article IV
The name and address of person(s) authorized to manage LLC
Title: AMBR
BELINDA STRACHAN
933 SW JASLO AVE.
PORT SAINT LUCIE, FL.
34953 US
Title: AMBR
EVERTON STRACHAN
933 SW JASLO AVE.
PORT SAINT LUCIE, FL.
34953 US
Title: MGR
EVERTON STRACHAN
933 SW JASLO AVE.
PORT SAINT LUCIE, US.
34953 US
Title: MGR
BELINDA STRACHAN
933 SW JASLO AVE.
PORT SAINT LUCIE, US.
34953 US
Signature of member or an authorized representative
Electronic Signature: CHEYENNE MOSELEY, LEGALZOOM.COM, INC.
L18000214325
FILED 8:00 AM
September 10, 2018
Sec. Of State
rekemple
I am the member or authorized representative submitting these Articles of Organization and affirm that the
facts stated herein are true. I am aware that false information submitted in a document to the Department
of State constitutes a third degree felony as provided for in s.817.155, F.S. I understand the requirement to
file an annual report between January 1 st and May 1 st in the calendar year following formation of the LLC
and every year thereafter to maintain "active" status.
IM
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