HomeMy WebLinkAboutZoning Compliance/Use Permit $ Date: Receipt#: Planning Tech: Permit#:
PLANNING&DEVELOPMENT SERVICES DEPARTMENT
iCOUNTY BUILDING & CODE REGULATION DIVISION
• R I D - 2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
772-462-1553
APPLICATION FOR PROMOTIONAL FLAGS,BANNERS,&PENNANTS
1. LOCATION/SITE ADDRESS:— /4?q 0z2r-)A1 j jf
2. PARCELED NUMBER:
3. DISPLAY PERIOD START DATE:
DISPLAY PERIOD ENDING DATE:
TOTAL NUMBER OF DAYS: S
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 INFORMATION 5.APPLICANTS INFORMATION
Name: v%J-QL- Name:
Address ;U Business Name: "r-A fC
City �� State:—A<—\� Address:
ZipPhone:C1�<k�% 3 City: � Stat . 11:77-
Zip: Phone:'
ONMR'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that ork will be done in compliance
with all applicable laws regulating construction and zoning.
PRINT OWNER OR AGENT NAME SIGNAT F1QWNER 6R AGE1�T
STATE OF FLORIDA,COUNTY OF �T• C[c ,/ -
THE FOREGOING INSTRUMENT AS ACKNOWLEDGED BEFORE ME THIS 9 DAY OF/� O V. .201 S BY �J 7Tl/t7�1 LYSF yvMO
IS PERSONALLY KNOWN BY ME OR WHO HAS PRODUCED AS IDENTIFICATION.
—Do "- u y Agi
SIGNATURE OF N ARY PUBLIC TYPE OR PRINT NAME OF NOTARY PUBLIC (seal)
COMMISSION NUMBER
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.
� DOROTHY AtalN i�11$KI�
Rev:11/25/2014 :2 ��� NotArjr Public-State of FIorIQ-,
•_ -Mj comm.Filpiles Oot 2s 096'
, Commission'.*Fi a152Y¢
o"
F°F�'o?a Bonded'hroughNa(l6hal'Notar- k8n.
I
4 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
1 C
LTJ
l
y
Please show where the banner(s),flags,or pennants will be placed on the property(see example below).
Example Onl♦y
North I
Promotional-
/flags
romotional/flags along
Front of SUS 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.