HomeMy WebLinkAboutZoning Compliance Mobile Food Vendor 2 Permit Fee: $75.00
Receipt#: -
ST.LUCIE COUNTY PLANNING&DEVELOPMENT SERVICES
BUILDING"&CODE REGULATIONS DIVISION
2300 VIRMIA AVENUE
-- FORT PIERCE,FL 34982-5652
772-462-1553
APPLICATION FOR CLASS II MOBILE FOOD VENDOR
ZONING COMPLIANCE
Date: 1,to
Business Name: _l,1
Business Address: Sc� eri'
City: 1 e_ State: FL Zip: 3190 Phone no: LAW 1.,19 — W M('
Description of Mobile Food Business:
Previous Business:
Applicant's Name:.cr Phone:
Applicant's Street Address:
City: \ .A L.VCte State: _ Zip: 5\t`l<:S
Property Tax Identification#: ��x'11`t— ®i V�I J Y�.®�I Le
I hereby acknowledge that the above is correct and agree to conform to the St.Lucie County Building
and Regulations Code.
**COPY OF STATE.OF FLORIDA FOOD HANDLER'S LICENSE MUST ACCOMPANY THIS-APPLICATION.
Applicant .Signature
Date: Initials:
Zoning: Land Use: SIC Code: Site Plan:
Subdivision: Lot: Block: Sec/Twn/Rng:
Certificate of Competency Required: Yes No Number Type
Landscaping Required: Yes=No_ Building-type: CBS. .. Wood frame
Building&Regulations Code Division,Code Enforcement Officer
SLCPDS Revised 5/19/2010
Plot Plan
:.Lot sizeLj
J 1
dimensions 9&bI
A
� a d �0-T�L
9D �R? Imn&
Lot size dimensions
Street Name: INDO
....................................................... .............................
Office Use Only
Property dimensions
Location of Existing Structures and Ground Signs
Location of Mobile Food Facility and Setbacks to Property Line
Parking
Landscaping
SLCPDS Revised 05/19/2010