HomeMy WebLinkAboutZoning Compliance/Use Permit i'
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Date: Receipt#: Planning Tech: Permit#: O
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PLANNING& DEVELOPMENT SERVICES DEPARTMENT
BUILDING& CODE REGULATION DIVISION
• - 2300 VIRGINIA AVENUE ;
FORT PIERCE,FL 34982-5652
772-462-1553 i;1 j
APPLICATION FOR PROMOTIONAL FLAGS,BANNERS;&PENNANTS
1. LOCATION/SITE ADDRESS: .' 1 ,
!2. PARCEL ID NUMBER:
SECT TWP RNG MAP LNG ! LU 1NIT
13. DISPLAY PERIOD START DATE:
- i
DISPLAY PERIOD ENDING DATE: ']
TOTAL NUMBER OF DAYS:
I j I•,
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! NUMBER OF BANNERS/FLAGS/PENNANTS: i
No More than.1 Banner permitted per 300 feet of linear frontage l
�4. OWNERS INFORMATION5. APPLICANTS INFORMATION
Name: P\Ll(?,1C-g Kowe'0 Name: F)nnp,�'' iRoL tt
is
Address:
' P+ N Business Naame: Ci
%3� -fS oc�c�ru Qj
y,i --LlnL
City: State: �Lg _ Address:31 0
Zip: Phone: r),-]- DD51- City: Fo( L
�1 State: L
Zip: tl! Phone: 5101-
OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all wori will be'done in compliance with
all applicable laws regulating construction and zoning.
2A--C�-4 0qL')'PW
PRINT OWNER OR AGENT NAME SIGNATURE OF O aR :'='I
STATE OF FLORIDA, COUNTY OF o� (y�
THE FOREGOING INSTRUMENT WAS ACKNOWLEDGED BEFO ME THIS DAY OF -eh I,20� Y� �"QQ WHO
R_SONALLY KNOWN BY ME OR WHO HAS PRODUCED T� 1�J-'ul�� I AS IDENTIFICATION.
�-U3 . ` v rte_ i
SIGNATURE OF NOTARY UBLIC TYPE OR PRINT NAME OF NOTARY PUBLIC (seal)
I
COMMISSION NUMBER i !
:NOTE:ACCORDING TO SECTION 9.01.02(C),ST.LUCIE COUNTY LAND DEVELOPMENT CODE,NO MORE THAN(4)PERMITS PER YEAR
SHALL BE ISSUED TO ANY ONE PARCEL OR COMMON DEVELOPMENT SITE FOR NO MORE THAN AiTOTAL,OF SIXTY(60)CALENDAR
iDAYS PER YEAR.
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Rev:5/15/2014 a Notary Public-5100 ur Fipr 4
MY aGMM.Expires Dec 201 2Q;4
COMMISsion #FF 177249
� '2�� �1d�fi National Notary Assn,
Please identify.where your place of business is located on the diagram below.Please identify the street
that the building faces. If the property abuts more than one street, please identify all street locations.
(See sample drawing below)
North
Please show where the banner(s),flags, or pennants will be placed on the property(see example below).
Example Only
NorthAL I
Promotional
flags along
Front of S US 1
Building
Please Note:
According to Section 9.03.00 F& G, of the St. Lucie County Land Development Code, NO display may be
located over or on any public right-of-way; or placed or attached upon'any utility pole street light,
sidewalk,curb fire hydrant,bridge or public property.