HomeMy WebLinkAboutAPPLICATION FOR ZONING COMPLIANCE PERMIT# =`� LP RECEIPT# %� U
Planning& Development Services Department
Building & Code Regulations
• 2300 Virginia Ave
__• '._ '___' ,_ Fort Pierce,F134982
772-462-1553-
APPLICATION FOR ZONING COMPLIANCE —HOME OCCUPATcI�ON
Date: /Z— / 2�
Business Name: /,Z/z
Business Address:
Description of Type of Business:
(fo rj lff
Property Tax ID#•
Applicant's Name: �04�L f �72 �A�i�[� Phone: 17Z S7
Applicant's Address:_ c� yZ Cj 0a1215Z 34-1b ;
City: Folt`r � State: /—,c Zip: 3e-4;; ,Y-�-
I HEREBY ACKNOWLEDGE THAT THE ABOVE IS CORRECT AND AGREE TO CONFORM TO THE
ST.LUCIE COUNTY ZONING AND BUILDING CODE. ANY VIOLATION OF THE "HOME
OCCUPATION" WILL BE PURSUED THROUGH ST.L CIE C E E OR EM T.
1
Applicant's Signature
OFFICE USE ONLY 11
Date: �'��' �` Initials:4 0
Subdivision: Block: Lot:
Section: Township: Range: Map#:
Zoning: Land Use:
Certificate of Competency Required: No Yes Number
Type of Certification:
SLCPDSD Revised 5/1/2014
PLEASE READ PRIOR TO FILLING OUT THIS APPLICATION
FICTITIOUS NAME REGULATIONS
(May Apply to You)
If you use any name other than your personal name on this application it may require compliance
with FICTITIOUS name laws before the Tax Collector can issue your Occupational License.
Other exceptions may apply. They would have to be addressed on an individual basis.
If you have any questions regarding these State requirements or exemptions, please contact St.
Lucie County Tax Collector's office located in Room 106 or phone 462-1650 before filling out this
application.