HomeMy WebLinkAboutTent Event OFFICE USE ONLY: DATE FILED: lJ� �J�` PERMIT#: wb)�� ��`
PLANNING&DEVELOPMENT SERVICES
j�` � BUILDING&CODE REGULATIONS DIVISION
2300 Virginia Avenue
Ft. Pierce, FL 34982-5652
RECEIVED
772-462-1553 Fax 772-462-1578
JUN 2 6 .2015
APPLICATION FOR TEMPORARY USE PERMIT
BUSINESS NAME: �� Y,``nk 1:_�ti
NAME OF EVENT:
LOCATION AND ADDRESS OF TEMPORY USE EVENT: -7 S k-)s -44- L FT U_
PROPERTY TAX IDENTIFICATION#: �3 q Z- 13 c -Gd 0-Z:
DESCRIPTION OF TEMPORARY USE: Z® K ?__c)
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DATES OF THE EVENT:
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APPLICANT'S NAME: a � d},s �r/r�� /)
APPLICANT'S STREET ADDRESS: 17_2 S Com, T 6�- �„ r� /-#ux '
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CITY:j?d.�7 ✓L'r t' STATE: � ZIP CODE-3 CIS
WILL THE EVENT HAVE A TEMPORARY LIQUOR LICENSE:YES NO
WILL THE EVENT HAVE A TENT(s):YES_)_4 NO (up to 900 square feet exempt from fire permit)
WILL THE HAVE BANNERS/PENNANTS/FLAGS?YESA/NO (REQUIRES SEPARATE APPLICATION)
I HEREBY ACKNOWLEDGE THAT THE ABOVE INFORMATION IS CORRECT AND AGREE TO CONFORM TO
ST.LUC E COUNTY LAND DEVELOPMENT CODE,SECTION
PRINT APPLICANT'S NAME S
STATE OF FLORIDA,COUNTY OF
ACKNOWLEDGED BEFORE ME T IS � L • DAY OF ,20j,
BY 6 • WHO IS ONALLY KNOWN TO ME
OR WHO HAS PRODUCED AS IDENTIFICATION.
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SIGNATURE O OTARY UTYPE OR PRINT NAiAE OF NOTARY
TITLE: NOTARY PUBLIC COMMISSION NUMBER:
SLCPDS 06/16/2014
1�sSC;cy,, --
=i� �, AUDREYB.HUMPHREY
* + MY COMMISSION#FF 174772
EXPIRES:March 6,2019
�,PrjhX`' Bonded lhru NO
WY Publb Underwriters