HomeMy WebLinkAboutBanner PermitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
$U"ING & CODE REGULAITON DIVISION
COUNTY
_ 2300 MROMA AVENUE
FOET PIERCE, FL 34982-5652
772-462-1553 - fax_ 772 462-1578
APPLICATION FOR PROMOTIONAL FLAGS, BANNERS, & PENNANTS
I. LOCAnorwsrm ADDRESS: C7 G T `t j,-eQ l
2. PARCEL ID NUMBER: I S-C) cc) r - US b
3. DISPLAY PERIOD START DATE-
DISPLAY PERIOD ENDING DATE: {
TOTAL. NUMBER OF DAYS:
NUM ER OF SANNERSIFLAGS/PENNANTS:r is limited t quart e feet in size. Most have more than 300 feet of
Only 1 banner per 300 linear feet. Each
linear frontage to qualify for an additional banner
4. OWNERS INFORMATION S. APPLICANTS INFORMATION
Name: �r �/�d5ti.IZZ
T� �J`oS7t7� Name
Address: RkT' Business Name:
State. �L Address:
City: '
zip:
t� 7 z) rG ! 3 City: Ll d 54 L_ �c state: rL
9 S" Phone:3 3 Cs6 G G !G
Zip: 3 phone. 77 � --
OWKEWS AFFMAVIT; 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.
C)
pRlNT QWNER QR AGEMC NAIviI SIGNA 0VWn4E OR AG
STATE OFFLOEUDA COUNTY OF 1C�3 \, ,
TFOREGOING INSTRUMENT WAS ACKNOWLEDGED BEFORE; METIUS LLLDAY OP J �i ,2Q , BY
kIE C
IS PERS�ILIAII Y fQE WN BY ME OR WHO HAS PRODUCED o� CASSANDRA }h VOLAGE
/ �� Notary Puhiic State of Flo:
TYPEORPRDNT1iAMEOFNOTARY UBI.TC o; C(AAP1155icn»GG923210
SIGNATUREOFNOTARYPUB '.hcF,tioE; MyComm.ExpiresOcttfi.2¢23
2 Z+C ...... Bonded through Ngionel Notary Assn.
COMMISSION NUMBER
E T]aAN
NOTE: ACCORD} TO ANY TIO PARCEL OR COMMON ➢BVEIAPMED ! FbiDEVELOPt Nb MORE THANO OTA (4)SIXTY (6PFM0) CAiENDAR
SI'fALL $E ISSUEONE
DAYS PER YEAR
Rev: 0612017