HomeMy WebLinkAboutTemp Special Event (2) Date: Receipt#: TEWnning Tech: Permit#:
j 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: -73570 *- 1 13�4- �D--.
--2. PARCEL ID NUMBER: _-3Lf2-Z" 1 3 L10 d 0 - 010 /L4
SECT TWP RNG MAP ZNG LU INIT
3. DISPLAY PERIOD START DATE: --7s ate,
i;
DISPLAY PERIOD ENDING DATE:
TOTAL NUMBER OF DAYS: Z rAn4 S
c
NUMBER OF B ANNERS/FLAGS/PENNANTS:
No More than 1 Banner permitted per 300 feet of linear frontage
4. OWNERS INF�+O))RMATION 5. APPLICANTS,
/t
Name: je�7/l�'e ,-a �i�C� Name: " k5 (t�
Address: f 0 E-:cthv..A" Te-� Business Name:
City: State: Address: '7 3S-U $- US 1
Zip: Phone: -772--340-t779 City: T5 L- State: F f .
Zip: 3!tc: Phone: M-940-0-73ci
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 zonin4ATURE
roe fi ✓4,e- -.�
PRINT OWNER OR AGENT NAME ( - I ' ' SIG OWNER OR AGENT
STATE OF FLORIDA, COUNTY OF c)1 • W(,(,f z
THE FOREGOING INSTRUMENT WAS ACKNOWLEDGED BEFORE ME THIS DAY OF 209 BY I/1/ �{�/I,}y 1 �, W('CO WHO
IS PERSONALLY KNOWNBY M�EOR WHO HAS PRODUCED AS IDENTIFICATION.
( /J � ^ n f varr
MICHELLE L.DERRICO
M `^ "�^"" r�ComNOTARYPUBLIC
[GN TURE OF NOTARY PUBLIC TYPE OR PRINT NAME OF NOTARY PUBLIC MINE OF FLORIDA
COMMISSION NUMBER �� JComm#FF190153
Expires 1/18/2019
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:5/15/2014
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
Please show where the banner(s),flags,or pennants will be placed on the property (see example below).
Example Only
North
Promotional
flags along
Front of S US 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.