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HomeMy WebLinkAboutBuilding Permit Application Date: Receipt#: Planning Tech: Permit#: PLANNING&DEVELOPMENT SERVICES DEPARTMENT BUILDING&CODE REGULATION DIVISION 2300 VIRGINIA AVENUE FORT PIERCE,FL 34982-5652 772462-1553 ! APPLICATION FOR PROMOTIONAL FLAGS,BANNERS,&PENNANTS 1, LOCATIOC/SITE ADDRESSs ` :: 9t L— \rl S 0'S � t �� 5 E (J✓ -3�� � ' "� 2. PARCEL ID NUMBER: S4 } `1- 5-6 l - 1 M cj -- LM- Cl SECT 1'LVP RNIG I MAP L\'G LU IN1T 3. DISPLAY PERIOD START DATE: - DISPLAY PERIOD ENDING DATE: j TOTAL NUMBER OF DAYS: 6 NUMBER OF BANNERSIFLAGSIPENNANTS: No More than I Banner permitted per 300 feet of linear frontage 4. OWNERS INFORMATION S. APPLICANTS INFORMATION j Name:""Re-um M B Q-rlyo Name: tJ�c7t�t� /�1� �/I01l p'n ,,, Address: 1D, Business Name: /J(�4aj � .rb lGl /'�i(V1�+'e city:�lF:Od2to State: .J Address: �3 297 S G! 9—Z Zip: I �d Phone:S (D �R S: &6,01Gr City:1 c�l _S-Z({Pr State:? ��t- / Zip: OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done in complianceavith all applicable laws regulating construction and zon' 4SCVekLf �_(d.�af � PRINT OWNER OR AGENT NAME SIGNATUR*0EAR A f STATE OF FLORIDA,COUNTY OF THE FOREGOING INSTRUMENT WAS ACKNOWLEDGED BEFORE ME THIS 1 DAY OF 9ft 20��BY I Aa WHO IS PERSONALLY KNOWN INSTRUMENT, ME OR WFIO HAS PRODUCED ASID T ' GRACE A.WARNER MY COMMISSION#FF 2340y5 tGNS A O NOTARY PUBLIC TYPE OR PRINT NAME OF NOTARY PUBLIC (sea] 'a- EXPIRES:September 22 2039 r l,�LL64qc •'f,Rlr °I Bonded That Notary Public Underwriters COMMISSIONNUMBER 'T J NOTE:ACCORDING TO SECTION 9.01.02(C),ST.LUCIE COUNTY LAND DEVELOPMENT CODE,NO MORE THAN(A)PERMITS PER YEAR SRALL BE ISSUED TO ANY ONE PARCEL OR CO,IVLMON DEVELOPMENT SITE FOR NO MORE THAN A TOTAL OF SIXTY(60)CALENDAR DAYS PER YEAR ' Rev:51=014 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) 1 North ry i Please show where the banner(s),flags,or pennants will be placed on the property(see example below). Example Only North Promotional /flags along S us 1 Front of 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-*AY; or placed or attached upon any utility pole street light, sidewalk curb fire hydrant,bridge:or public property. - i