HomeMy WebLinkAboutZoning Compliance/Use Permit 22419 - 011s;3
PLANNING&DEVELOPMENT SERVICES DEPARTMENT
BUILDING& CODE REGULATION DIVISION
o a 2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
772-462-1553 fax:772-462-1578
APPLICATION FOR PROMOTIONAL FLAGS,BANNERS,&PENNANTS
1. LOCATION/SITE ADDRESS: 73 o o-,-, 1''ti'C.L
2. PARCELIDNUMBER: `3g2.Z' kzoq - 000?, ox{� ,4
3. DISPLAY PERIOD START DATE: /Z® — -T/
DISPLAY PERIOD ENDING DATE: °774
TOTAL NUMBER OF DAYS: a
NUMBER OF BANNERS/FLAGS/PENNANTS:
*Only 1 banner per 300 linear feet. Each banner is limited to 32 square feet in size. Must have more than 300 feet of
linear frontage to qualify for an additional banner
4. OWNERS INFOJRMATIONN ,�/} 5.APPLICANTS INFORMATION�.�
Name: /.t,+e l/f%��, Cir. /! �'ex—O Name: i6�t`mi^e N �.� Cr! —0
Address: IV15; f �i.qsd4 ter— Business Name:
City: FS L- State: rL_ Address: S-5(16- Vkj �lQt�:i �✓
Zip: - 4543 Phone: -j 72--3q0 j.-l7 � City: -211� cS�- 1 4-0 State:
Zip: 31(CL 9 Phone: -772--3qO-() 30
OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done in compliance
with all applicable laws regulating construction and zoning.
PRINT OWNER OR AGENT NAME /J SI NATURE OF OWNER OR AGENT
STATE OF FLORIDA,COUNTY OF St.
1 • tuC[Ci II
THE FOREGOING INSTRUMENT WAS ACKNOWLEDGED BEFORE ME THIS l�DAY OFJ� ,20[j,BY V ' �-I✓I1Cco WHO
/n��r�1
IS PE SONALLY KNO N BY ME OR WHO HAS PRODUCED AS IDENTIFICATION.
e r�ww
1
G TUBE OF NO ARY PUBL((IC(,�(�t TYPE OR PRINT NAME OF NOTARY PUBLIC (seal)
COMMISSION NUMBER FFI IIJI5�)
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 A TOTAL OF SIXTY(60)CALENDAR
DAYS PER YEAR.
WCHELLE L.DERRICO
Rev:06/2017 NOTARY PUBLIC
a STATE OF FLORIDA
Comm#FF190153
� r Expires 1/18/2019
I
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
North 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.
OFFICE USE ONLY: DATE FILED: PERMIT#:
Cost: $55.00
PLANNING&DEVELOPMENT SERVICES
BUILDING&CODE REGULATIONS DIVISION
-� 2300 Virginia Avenue
Ft.Pierce,FL 34982-5652
772-462-1553 Fax 772-462-1578
APPLICATION N FORTEMPORARY
USE PERMIT
BUSINESS NAME: rl W Nr(„tc�T�j
NAME OF EVENT: `a�J-z
LOCATION AND ADDRESS OF TEMPORY USE EVENT:
•73So �. ��� �a-r
PROPERTY TAX IDENTIFICATION#: '31?d-2-- 1 N —000 2—
DESCRIPTION OF TEMPORARY USE: NP��- IO J✓,l2 She 1� cySd04�
lk"C1 V1
6lGJ
Z8�DATES OF THE EVENT: �
v
APPLICANT'S NAME: w�,tuTd►t).� �S ��i C
.APPLICANT'S STREET ADDRESS: 5 SSG /(�Z� 1-i kot'l Cr-
CITY: r• 1-aJ(�°-� STATE: ZIP CODE:3q CO
WILL THE EVENT HAVE A TEMPORARY LIQUOR LICENSE:YES NO
WILL THE EVENT HAVE A TENT(s):YES Y-- NO (up to 900 square feet exempt from fire permit)
WILL THE HAVE BANNERS/PEEN ANT4/FLAGS?YES—X—/NO (Only 1 per 3 linear feet;32 sq It max size)
I HEREBY ACKNOWLEDGE THAT THE ABOVE INFORMATION IS CORRECT A AGREE TO CONFORM TO
ST. LUCIE COUNTY LAND DEVELOPMENT CODE,SECTION 8.0 J.
iyu✓+� :Z — t-o
PRINT APPLICANT'S NAME GNATU O APPLICANT
STATE OF FLORIDA,COUNTY OF f p,
ACKNOWLEDGED BEFORE ME THIS DAY OF ,20
BY WHO IS PE NALLY KNOWN TO ME
WHO HAS PRODUCED f 3 �AS IDENTIFICATION.
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
TITLE: NOTARY PUBLIC COMMISSION NUMBER:
SLCPDS 10/19/2015 Patricia A Wagm
NOTARY PUBLIC
STATE OF FLORIDA
. Comm#FF976704
Expires 312912020
PERMISSION FROM OWNER OF PROPERTY
DATE: �, U
AS OWNER OF yTHE FOLLOWING DESCRIBED PROPERTY,I AUTHORIZE
TO HOLD A TEMPORARY USE EVENT.
PROPERTY TAX IDENTIFICATION#: /2Z 1 '� ® 2 d /�
LEGAL DESCRIPTION OF PROPERTY: _7 35-0 S. y 4-� , �5 L , �L '� ctSZ
cm-
PROPERTY
PROPERTY ADDRESS: 735 v S• JS --1 �S L 1'� -3 Z--
OWNER INFORMATION: A
PROPERTY OWNER'S NAME: t1 j 1 AM
PROPERTY OWNER'S ADDRESS: / 60 Aj y r.�,4o.,l fir,
CITY: STATE:cS - �y(;1�— STATE: L- ZIP CODE: j
I IT,AA, (97- ; K 0 �-
PRINT OWNER'S NAME SI ATURE OF OWNER
STATE OF FLORIDA,COUNTY OF Cl&
ACKNOWLEDGED BEFORE ME THIS 20 DAY OF fit, e_ ,201[ —,
BY V V I IA,�V1 C� . Q(cco WHO IS PERSONALLY KNOWN TO ME V,
OR WHO HAS PRODUCED AS IDENTIFICATION.
IGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
TITLE: NOTARY PUBLIC COMMISSION NUMBER: FF
seal MICHELLE L.DERRICO
NOTARY PUBLIC
STATE OF FLORIDA
Comm#FF190153
Expires 1/18/2019
SLCPDS 10/19/2015