HomeMy WebLinkAboutBuilding Permit Application ,V
`-`= Date: } - �.-- Receipt#; Planning Tech: Permit
PLANNING &DEVELOPMENT SERVICES DEPART
BUILDING&CODE REGULATION DIVISION
iCOUNTYER.QP "
- 2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652 DEC 3 2015
772-462-1553
APPLICATION FOR PROMOTIONAL FLAGS,BANNERS,&PENNANTS
1. LOCATION/SITE ADDRESS:
2. PARCEL m NUMBER: �1 �7 00 01 � 000 U
3. DISPLAY PERIOD START DATE: -1-X6 90" 2 6
DISPLAY PERIOD ENDING DATE:
TOTAL NUMBER OF DAYS: (�
NUMBER OF BANNERS/FLAGS/PENNANTS:
*Only.I 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: PorA6'&� o t �o 5 CA'd A f` 'r Name: �lh—el
Address: / /�G/ �Z A iJ (W &Y Business Name:
City: t i cez- State: r— Address:
zip y°�— Phone: 772 '3f� 32 6S City: State:
•a��
Zip: Phone:
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 zom g.
PRINT OWNER OR AGENT NAME S NATURE OF OftER O AGENT .
STATE OF FLORIDA,COUNTY OF
THE FOREGOING INSTRUMENT WAS ACKNOWLEDGED BEFORE ME THIS DAX OF �b ,2015,BY Mark
S PERSONALLY KNOWN J BY ME OR WHO HAS PRODUCED HN*ffihbATIq'N.
;_�* Notary Public State of Ira,
2 a
My Comm.Expires Dec 16,2016
SIGNATURE OF NOTARY PUBLIC ,} TYPE OR PRINT NAME OF NOTARY PUB fsj¢ ;�q 0ommisS�6 N`EE 858761
COMMISSIONNt314IBEI� 1:.-�5`6 �I �;;; Bonded Through
Nasional Notary Assn.
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:1InS/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
s�
9 IrlAb
>� ------- '
. .
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 along
Front of 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.