HomeMy WebLinkAboutBuilding Permit Application t Date: J 12�/ Receipt#: Planning Te eh: Permit#: 6�
PLANNING&DEVELOPMENT SERVICES DEPARTMENT
• BUILDING&CODE REGULATION DIVISION
• 2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
772462-1553
APPLICATION FOR PROMOTIONAL FLAGS. BANNERS,&PENNANTS
1 LOCATIOMSITEADDRESS: `a:5
2. PARCEL ID NUMBER; Iq:o �.
3. DISPLAY PERIOD START DATE:
DISPLAY PERIOD.ENDING DA'I'S: --
TOTAL NUMBER.OF DAYS: /
NUMBER OF BANNERS/FLAGS/PENNANTS: f
*.Only I 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 i f alify loran additional banner
4.-. OWNERS INFORMATION 5.APPLICANTS INFORMATION
Nance. Name.• Q LZA? !_r11 o o•r A
Address:. Business.Name: r�r�S �x1 charlic�, _
City it 1 40 State: Address:$
Zi Phon 'City: �,�1 -�41-1ti� c �e State: 1..
Zip:= ;G t=. Phone: n �-. 0
OWNER'S AFFIDAVIT: I certify that all of the information contained in this application iscorrect and that all work will.be done in compliance
with all applicable laws regulating construction and zoning.
_ �j pfte:W. - SSO
PRINT OWNER OR AGENT NAME t, SIGNATURM OWNER OR AG ,
STATE OF FLORIDA,COUNTY OF
THE FOREGOING:IIVSTRUMENT WAS ACKNOWLEDGED BEFOREIvy THIS. DAYOF PZ 20BY --�
� p�t� I�. 'Wg0
IS PERS N Y KNO BY ME OR WHO HAS PRODUCED. ppgg�
JOWN.
1 -69 ANOTARY PUBLIC
SIGNATURE OF NOrARY1MBjjC TYPE OR PRINT NAME OF NOTARY PUBLIC *wwd
S OF FLORIDA
COMMISSION NUMBER F(✓ , 6 k��� Comm#EE164374
Expires 172912016
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 SDLTY(60)CALENDAR
DAYS PER YEAR
Rev: IJ20014-
Please Identify►where your place of business is located on the diagram below.Please identify the street
dixt4la building fades. If the property abuts more than one street,please identity all street locations.
(See sample drawing below)
North
• r
Please show where the banner(s),flags,or pennants�placed on the perty(see c"umple below).
Ezamol OnW,
♦
North I
Pnomodonst
kof SOS 1
Buffdinj
Please Note:
According to Section 9.03.00 F G,o
t- ff the St.Lucie County Land Development Code,NO display maybe
located over or on any public way;or placed or attached neon any utility pole,stmt light,
sidewalk,curb,fire hydrant,b dge or public property.