HomeMy WebLinkAboutApplication for Temporary Special Event Promotional Flags etc1.
2.
PERmrr Num BER• c2 l D /O 1 C7
ST. LUCIE COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
2300 VIRGIRIA AVE=, ROOM 202
PORT PnMCB, FL 34982-5652
Lpoa 607-462-1553
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APPLICATION FOR
TEMPORARY SPECIAL EVENT PROMOTIONAL FLAGS, BANNERS, &
LOCATION/SITE ADDRESS:
PARCEL ID NUMBER:
NUMBER OF' TEMPO
DISPLAY PERIOD START bATE:' ` ` ` 1 l 14)
PENNANTS
z.a00 Jvor+k . A IA
DATE: I I$ 6 a l
Kd . FZ- 3
DISPLAY PERIOD ENDING DATE:
_Movyj W u, %( � o �
P
TOTAL NUMBER OF DAYS: (n V
4. OWNERS INFORMATION
Name: 6eu4 Towe r Pw Oe rollers• , mor- -
Address: Z100 ftr I/q.
CRY: N• ,h .Z's�. 8t: ; c.
Phone: 4 a 6. 03 p I Zip: 3
5. APPLICANTS INF RMATIQN
Name:
Address:
City: St:
Phone: Zip:
FEES DUE: d 7. O a
loci I RECEIPT: ® 1 1 13 2.77
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 OUA0: AIZA44.01c� -
-'FIERS/OWNERS NAME SIGNATURE OF OUALIFIER/O R
STATE OF FLORIDA, COUNTY OF
THE FOREGOING INSTRUMENT WAS ACKNOWLEDGED BEFORE ME THIS DAY OF , 19_,
WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED AS IDENTIFICATION.
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY (seaQ
NOTARY PUBLIC TITLE 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 SIXTY (60) CALENDAR DAYS PER YEAR.
SLCCDV FORM NO: 019-01
PLEASE IDENTIFY WHERE YOUR PLACE OF BUSINESS IS ON THE DIAGRAM AND
THE STREET THAT THE BUILDING FACES. IF PROPERTY ABUTS MORE THAN
.,\,.ONE STREET, PLEASE IDENTIFY ALL STREET LOCATIONS.
,NORTH,
Marie Xv A I
v r
THEN SHOW WHERE THE BANNERS,,FLAGS, OR PENNANTS WILL BE PLACED ON
THE PROPERTY (SEE EXAMPLE'BRLOW)
:,,EXAMPLE ONLY
NORTH
Banner"r
U.S. 1
PLEASE NOTE:
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According. to Sect , ion 9.03. 00 F. and G. St.. Luc.ie County Land
"
DeVe 1'e ,6'mnt - Cbide, " "NO D I S PLAYLOCATEDOVE 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.