HomeMy WebLinkAboutRevision PLANNING AND DEVELOPMENT SERVICES
21 r 2300 Virginia Ave .
- ..� Yy-...._.. L f'l'y,X'L.-�`J.04 --......-.. . ------..,_.. _..._ � .. .-.�._..-•--
Phone:772-462-2822—Fax: 772-462=1581
APPLICATION FOR ZONING COMPLIANCE—.BUSINESS (not in home)
Permit#: Date of Application:
Name of Business: v
' 1" 10/1
'f r
1
Description of Business:
Address of Business: FL Zip
Number of Employees / Number of Parking spaces available for business
Name of Shopping Center,if applicable: _jAW4
Name&type of previous business in this location:
Name of Applicant: 1
Mailing Address: / 2. J J
Contact Information-Phone: Email: ) r 1
Property Tax ID#for business location:
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
Com Iian e:,I further understand that a site inspection may be required to ensure compliance with
ap icable land development,building safety,and property maintenance regulations.
A
ignature t Date
OFFICE USE ONLY:
REQUIRED YES NO NOTES
Zoning Parkin �.
Land Use Landscaping
SIC Code Building Permit
for Change of
Occupancy
Conditional Use
Permit