HomeMy WebLinkAboutBuilding Permit Application a
PLANNING&DEVELOPMENT SERVICES DEPARTMENT
� COUNTY BUILDING&CODE REGULATION DIVISION
• I D - 2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
772-462-1553 - fax:772-462-1578
J �L ��o� � �- gin
APPLICATION FOR PROMOTIONAL FLAGS,BANNERS,&PENNANTS
1. LOCATION/SITE ADDRESS: O�o
2. PARCEL ID NUMBER: 3y 141 U l S-00 I O S'U S
3. DISPLAY PERIOD START DATE:
DISPLAY PERIOD ENDING DATE: D1,I;�/zDzo
TOTAL NUMBER OF DAYS: 60
NUMBER OF BANNERS/FLAGS/PENNANTS: I eT2�L n n e)— ) ;)Af-\-
*Only 1 banner per 300 linear feet. Each banner is limited to 32 square feet in size. Mudt have more than 300 feet of
linear frontage to qualify for an additional banner
4. OWNERS INr�FppORMATION (` 5.APPLICANTS
��INFORnM_A_TION
Name: )J_' 6v�to /�.,.� W �w�r Name: �'�`'�/�c04_
Address: ?-7. NG J44-w -_ReJA 4kl Business Name: L'Aj2(JS--'&Mfia �r��y C� �C
City: A", _ 6L,l,, State: FL— Address: -106( Q1-:9wq I
-zip: 7`li5Phone: 777 334( 41;3 City: a-) 4- La-,o State.:-
Zip:
tate:Zip: 2vdg & Phone: 23 37 1 Z
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 constructionand' ' g.
PRINT OWNER OR AGENT NAME CC SIGNA OF OWNER OR AGENT
J
STATE OF FLORIDA,COUNTY OF T,
THE FOREGOING INSTRUMENT WAS ACKNOWLEDGED BEFORE ME THIS 1Q DAY OF 2018 BY WHO.
IS PERSONALLY KNOWN_k_BY ME OR WHO HAS PRODUCED AS IDENTIFICATION.
SIGN—ASI OOYNUfARY PUBLIC TYPE OR PRINT NAME OF NOTARY PUBLIC (seal)
COMMISSION NUMBER
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 SMff(60)CALENDAR
DAYS PER YEAR.
Rev:062017
ot�"y Pie;•, ENID Y.DUILES
_* .°= Notary Public-State of Florida
" " ° Commission#FF 978194
'n.1 T�
rF opo,- My Comm.Expires Apr 4,2020
_ J
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
a
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 IIS 1
Building
IF
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.