HomeMy WebLinkAboutZoning Compliance/Use Permit OFFICE USE ONLY: DATE FILED: PERMIT#: "O �
PLANNING&DEVELOPMENT SERVICES
`k BUILDING&CODE REGULATIONS DIVISION
2300 Virginia Avenue
Ft.Pierce,FL 34982-5652
772-462-1553 Fax 772-462-1578
APPLICATION FOR TEMPORARY USE PERMIT
BUSINESS NAME: ��r��C, �Y -\
NAME OF EVENT: ��X c C�a�o sic�, r�� n at, �,n C3.
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LOCATION AND ADDRESS OF TEMPORY USE EVENT:Uw.kq _
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PROPERTY TAX IDENTIFICATION#: 13 Vb— A 3 A— 0 b O ` c Qn
DESCRIPTION OF TEMPORARY USE: 1r��c� c L ��,e� a\eF
DATES OF THE EVENT: f Vd�( • �� �Cr � `r�,0��
APPLICANT'S NAME:
APPLICANT'S STREET ADDRESS:
CITY: V-�r \-' e�cc� STATE: - ZIP CODE:
WILL THE EVENT HAVE A TEMPORARY LIQQUOR LICENSE:YES NO
WELL THE EVENT HAVE A TENT(s):YES ✓ NO (up to 900 square feet exempt from fire permit)
WILL THE HAVE BANNERS/PENNANTS/FLAGS?YES /NO (REQUIRES SEPARATE APPLICATION)
I HEREBY ACKNOWLEDGE THAT THE ABOVE INFORMATION IS CORRECT AND AGREE TO CONFORM TO
ST.LUCIE COUNTY LAND DEVELOPMENT CODE,SECTION 8.02.02J.
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PRINT APPLICANT14 NAME SIGNATURE OF APPL
STATE OF FLORIDA,COUNTY OF
ACKNOWLEDGED BEFORE ME THIS DAY OF ,20 ,
BY WHO IS PERSONALLY KNOWN TO ME
OR WHO HAS PRODUCED AS IDENTIFICATION.
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
TITLE: NOTARY PUBLIC COMMISSION NUMBER:
SLCPDS 06n6n014