HomeMy WebLinkAboutZoning Compliance/Use Permit OFFICE USE ONLY: DATE FII J' PERMIT#: _4— —
Cost: $55.00
PLANNING&DEVELOPMENT SERVICES
BUILDING&CODE REGULATIONS DIVISION
2300 Virginia Avenue
R..Pierce,FL 34982-5652
772-462-1553 Fax 772-462-1578
APPLICATION FOR TEMPORARY USE PERMIT
BUSINESS NAME: L A k n 1 '- c
NAME OF EVENT:
LOCATION AND ADDRESS OF TEMPORY USFA EVENT:
PROPERTY TAX IDENTIFICATION#:
DESCRIPTION OF TEMPORARY USE: ��
I
i DATES OF THE EVENT: A&11,2 je/q c`J C G CI
APPLICANT'S NAME:' La 12 MD / /V
APPLICANT'S STREET ADDRESS: �� �. �S/1��i its PG�'j S / L �,
CITY: d Gi[I mo' L G 1 STATE:_d ZIP CODE:__j—0
WILL THE EVENT SAVE A TEMPORARY LIQUOR LICENSE:YES NO .
WILL THE EVENT HAVE A TENT(s):YES �,NO (up to 900 square feet exempt from fire permit)
WILL THE HAVE BANNERS/PENNANTS/FLAGS?YES /NOO>oiy I per 3001inear feet;32 sq ft max size),
I HEREBY ACKNOWLEDGE THAT THE ABOVE INFORMATION IS CORRECT AND AGREE TO CONFORM TO
ST.LUCIE COUNTY LAND DEVELOPMENT CODE,SECTION ,
PRINT APPLICANT'S NAME /� IGNATURE OF PLIC
STATE OF FLORIDA,COUNTY OF L/ A, 1
ACKNO � _I GED BEFORE \RE ME DAY OF .20La
BY V " `, WHO IS PERSONALLY KNOWN TO ME
OR WHO HAS PRODUCED ASIDEN
7CATION.
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF N
TITLE: NOTARY PUBLIC COMMISSION NUMBER:
SLCPDS 10119,7015
TINA BRIGGS
,� oe
State of Florida-Notary Public
*E Commission#GG200888
�rEolt`oP°c My Commission Expires
May 02,20Z2
PERMISSION FROM OWNER OF PROPERTY
DATE:
j
AS OWNER OF THE FOLLOWING DESCRIBED PROPERTY,I AUTHORIZE J 6ft L M I` S
TO HOLD A TEMPORARY USE EVENT.
PROPERTY TAX IDENTIFICATION#:
LEGAL DESCRIPTION OF PROPERTY:
PROPERTY ADDRESS: ® SAj
Y►V� �� `' ��
OWNER INFORMATION:
t �✓c
PROPERTY OWNER'S NAME: �i l I� �. i
PROPERTY OWNER'S ADDRESS:
CITY: a V r l STATE: ZIP CODE:
i PRINT OWNER'S NAME SIMAWRE OF OWNER
STATE OF FLORIDA,COUNTY OF �
ACKNOWLEDGED BEFORE ME THIS DAY OF ZD C '
BY •e➢S/1. 1 WHO IS PERSONALLY KNOWN TO ME
OR WHO HAS PRODUCED AS IDENTIFICATION.
a"114 Ci�vh6iekC
SIGNATURE O NO Y TYPE OR PRINT NAME OF NOTARY
TITLE: NOTARY PUBLIC - COMMISSION NUMBER:
SANDY CROGHAN
• Notary Public-
State of Florida seal
Commission 0 GG 288147
A',y Comm.Expires Feb 6,2023
SLcm WOMB
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SAINT LUC1E COUNTY FIRE.DISTRICT
U
�. FIRE:PREVENTION BUREAU
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PERMIT
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To whom it,maY concern-
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4, ermit N tuber Tent Permit
By virtue of:the provisions of the`Saint•Luc!e Count Fire Prevention Code
Y- Date'' November 5,20.19.
,
Contractor Larry Maloney, _ Address 2499'SE Sapphire Terrace
` City PSL State FL Zip 34952°
nd arrangements are,in o irnon,su
Having madeapplication;induc form,.and as the coriditions;surroundmg,-a"' g y`p' ' ch"that the intent of the
code can,be'ob' rued;a'uthoritq'is'herebyeven and the PERMIT'is Granted for.the installation Of:-
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1 each 40 x 60 Tent'for Christmas Tree Sales..Set up Nov 16,Insp Nov 19,Teardown on Dec 27,201'9 NO SMOKING iN TENT
Project NameMaloney Christmas Tree Sales Addres
[�arrys 6201 S US Highway Qne'
City Port St Lucie State : FL Zip• 34952•=
This.-perrnit does not take:the place of anyaicense req by law and is not transferable. Any change in the use or occupancy of the
= pr is shall require anew per`mitr
(" Days Valid 41 Contractor Fire Marshal Paul Larigef
L_ -
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THIS PERMIT SHALL.AT.ALL TIMES BE KEPT POSTED ON THEPREMISIES LISTED,ABOW.
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