HomeMy WebLinkAboutZoning Compliance/Use Permit Date: Receipt#: Planning Tech: Permit#: r 5•�� d, l
PLANNING &DEVELOPMENT SERVICES DEPARTMENT
' BUILDING & CODE REGULATION DIVISION
• - 2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
772-462-1553
APPLICATION FOR PROMOTIONAL FLAGS,BANNERS,& PENNANTS
1. LOCATION/SITE ADDRESS: J s At �� GAG 7
2. PARCEL ID NUMBER: 3 7 S� — O d Z ZDU 9
3. DISPLAY PERIOD START DATE:
DISPLAY PERIOD ENDING DATE:
TOTAL NUMBER OF DAYS:
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 INFORMA TIQ� 5.APPLICANTS INFORMATION
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Name: ,tg -a L �Name:
Add s: o`�� �' 1 K-E) Business Name: t't y C s .S'IGS=if C-
City:r' �r LIiP i L� State: L- Address:
Zip: s�� Phone: 7'7 9k- 3��- ���� City: P°^rt sf 1-444t: State:
Zip: Phone: ?7 Z 3 3S J'z2ti
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 OWNER OR AGENT NAME GNAT OF OWNER OR AGE
STATE OF FLORIDA,COUNTY OF 5T° L CIL ie
THE FOREGOING INSTRUMENT WAS ACKNOWLEDGED BEFORE ME THIS DAY OF ®1 ' .20L BY I&A/40-)WHO
IS PERSONALLY KNOWN /'BY ME OR WHO HAS PRODUCED// / J� AS IDENTIFICATION.
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SIGNATURE OF NOTARY PUBLIC+ ! ] TYPE OR PRINT NAME OF NOTARY PUBLICo MY COMM99N t FF 061561
COMMISSION NUMBER �T®l� / *r• \o* EXPIRES:October 20,2017
�TFOF F0' Bonded Thru Budget Notary Services
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.
Rev:11/25/2014 ,