HomeMy WebLinkAboutAPPLICATION FOR TEMPORARY SPECIAL EVENTFEE: $25 PEXAM NLW13ER-alal�ff
ST. LUCIE COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
J 2300 VIRGIRIa A1VE=,'ROOM 201
PORT PIMME, FL 36982-3632
407-462-2553
APPLICATION FOR
TEMPORARY SPECIAL EVENT PROMOTIONAL FLAGS, BANNERS, &
PENNANTS
DATE•.
LOCATION/SITE ADDRESS:
PARCEL ID NUMBER:
NUMBER OF TEMPORARY SIGNS/BANNERS:
DISPLAY PERIOD START DATE:
DISPLAY PERIOD ENDING DATE. v
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IIPhone: l _ _ ,t -A..-
AP"ANTS
Zip.
FEES DUE:
RECEIPT:
OWNER'S AFFIDAVIT: I certify that all of the information contained in this application Is correct afid t all work dofTri compliance
with cable laws rag u ati nstruction and zoning. / ;. All,
PRINT QUALIFIERS/OWNERS NAME SI TU O LIFIEWOWNER
r • STATE OF FLORIDA, COUNTY OF
THE FOREGOING INSTRUMENT WAS ACKNOWLEDGED BE RE ME THIS DAY OF 119
WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRO U ED AS IDENTIFICATION.
I
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY (seal)
I
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 YEAFL
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 '1
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THEN SHOW WHERE THE BANNERS FLU
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THE PROPERTY (SEE EXAMPLE BELOW)
EXAMPLE ONLY
NORTH
Banner
U.S. 1
PLEASE NOTE:
S
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1, BLDG .
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PENNANTS WILL BE PLACED ON
According to, Section 9.03.00 F."and G.., 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.