HomeMy WebLinkAboutZoning Compliance/Use Permit OFFICE USE ONLY: DATE FILED: PERMIT#:
Cost: $55.00
_ PLANNING&DEVELOPMENT SERVICES
' = ' BUILDING&CODE REGULATIONS DIVISION
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2300 Virginia Avenue
a Ft. Pierce, FL 34982-5652
-- -° 772-462-1553 Fax 772-462-1578
�0111 6111 lowi
APPLICATION FOR TEMPORARY USE PERMIT
BUSINESS NAME:
NAME OF EVENT: �i /-�J/i�s .��5/ ,�5XZ.4 e-
LOCATION AND ADDRESS OF TEMPORY USE EVENT:
PROPERTY TAX IDENTIFICATION#:
DESCRIPTION OF TEMPORARY USE:
DATES OF THE EVENT: 3— 1 -2 2-012
APPLICANT'S NAME:
APPLICANT'S STREET ADDRESS: 5
CITY: t—% p/el-4 f e- STATE: I' ZIP CODE:
WILL THE EVENT HAVE A TEMPORARY LIQUOR LICENSE: YES"Q= NO
WILL THE EVENT HAVE A TENT(s): YES NO_ 5�up to 900 square feet exempt from fire permit)
WILL THE HAVE BANNERS/PENNANTS/FLAGS?YES /NO (Only 1 per 300 linear feet;32 sq ft max size)
I HEREBY ACKNOWLEDGE THAT THE ABOVE INFORMATION IS CORRECT AND AGREE iTO CONFORM TO
ST.LUCIE COUNTY LAND DEVELOPMENT CODE,SECTION 8.02.02J.
PRINT APPLICANT'S NAME SIGNA IC T
STATE OF FLORIDA,COUNTY OF
ACKNO LEDGED BE ORE ME THIS DAY OF fV20 i ! ,
BY WHO IS PERSONALLY KNOWN ATO ME
YO AS PROD CED L AS IDENTIFICATION.
RE OF NOTAR TYPE OR PRINT NAME OF NOTARY
TITLE: NOTARY PUBLIC COMMISSION NUMBER:
SLCPDS 10/19/2015
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PERMISSION FROM OWNER OF PROPERTY jjr
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DATE:
AS OWNER OF THE FOLLOWING DESCRIBED PROPERTY,I AUTHORIZE
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TO HOLD A TEMPORARY USE EVENT.
PROPERTY TAX IDENTIFICATION#: 3O f `G�5 e 0 7/ 4009
LEGAL DESCRIPTION OF PROPERTY: f '
PROPERTY ADDRESS: S o ��✓/e'-��� e � G �l ® ��l C
OWNER INFORMATION:
PROPERTY OWNER'S NAME:
PROPERTY OWNER'S ADDRESS: Z /�Je2/1��D� F � ✓ ,�J
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CITY: STATE: f— ZIP CODE:
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PRINT OWNER'S NA E SIG
STATE OF FLORIDA,COUNTY OF %IY !'
ACKNOWLEDGED BEFORE ME THIS �_ DAY OF �C�1 C�/\- i''' ,'20 �7 ,
BY �" "� . WHO IS PERSONALLY KNOWN TO ME
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WHO HAS PRODUCED AS IDENTIFICATION.
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N TURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
TITLE: NOTARY PUBLIC COMMISSION NUMBER: i
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SLCPDS 10/19/2015
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