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�' =111 PLANNING&DEVELOPMENT SERVICES DEPARTMENT
BUILDING& CODE REGULATION DIVISION
•____� 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: S J• S lr. j�L_
2. PARCEL ID NUMBER: '3'-I 2r2- ►3'4 b0O -. -Ca k u
3. DISPLAY PERIOD START DATE: ��-
DISPLAY PERIOD ENDING DATE: ��•)1�/ y
TOTAL NUMBER OF DAYS: �LS
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 INFORMATION 5.APPLICWS INFORMATION--, ,
Name: \J1i 1h pA l ftk" C-0 Name: f- E'/41d;AM-
Address: l oO /� �-;/yrac 1,z•- Business Name:
City: f 5 State: Address:
Zip: Phone: -77 Z-3{U-O 7 3 6- City •S ,6.)l State:
J
Zip: Phone: 77z -37
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.
\v11i //ItIrIn
PRINT OWNER OR AGENT NAME / 1 SIGNATURE OF OWNER OR AGENT
STATE OF FLORIDA,COUNTY OF Y!%>�s GVN,
` f r
THE FOREGOING INSTRUMENT WAS ACKNOWLEDGED BEFORE ME THIS%��DAY OF Jd yV— .20A BY �d.1/if 0-t M e--O WHO
IS PERS ALLY KNOWN�BY ME OR WHO HAS PRODUCED \ AS IDENTIFICATION.
G P C TYPE OR PRINT NAME OF NOTARY PUBLIC {� ►" {se h NICNOLAS�.OERRICO
/� jp Notary PuE:ic-State of Florida
CONMSSION NUMBER�3 D 1 j�3.(� s Commission;GG 301530
�F,r My Comm.EaPires Feb 13,20231
Eanred through Na"cnal Notary Assn.
NOTE:ACCORDING TO SECTION 9.01.02(C),ST.LUCIE COUNTY LAND DEVELOPMENT CODE,NO MORE THAN
SHALL BE ISSUED TO ANY ONE PARCEL OR COMMON DEVELOPMENT SITE FOR NO MORE THAN A TOTAL OF SIXTY(60)CALENDAR
DAYS PER YEAR.
Rev:06/2017
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
Mat
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 SUS 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.