HomeMy WebLinkAboutApplication for Zoning Compliance - Use Permit r
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t Date: 1 Receipt#: Planning Tech: Permit#:
: iPLANNING &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: (a o a
2. PARCEL ID NUMBER:
3. DISPLAY PERIOD START DATE:
DISPLAY PERIOD ENDING DATI
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: y1 � :)(-r Name:
Address: yQ:,` ,St= nCL'7CY)A�Cc a\je- . Business Name? ��C.j
Citysrr State: Address:Zip:419 PPhone: -T�2-(06-1-q(-0S� City: ?S-L State:
Zip: �� a Phone: -M L ROE"LI !
OWNER'S AFFIDAVIT: I certify that all of the information contained,in this application is correct and that all work wiII be done in compliance
with all applicable laws regulating construction and atoning.
PRM OWNER OR AGENT NAME SIG ATURE OF OWNER OR AGENT .
STATE OF FLORIDA,COUNTY OF -:r—j O 1'l C -
THE FOREGOING INSTRUMENT WAS ACKNOWLEDGED BEFORE ME THIS IS DAY OF�2015 BY(',,of i S TUU T ri%l �Url�WHO
IS PE�RSj ALLY NOWN BY ME OR WHO HAS PRODUCED�l fir" da- De' y`r'� f> (tetT"Cnib' f-- AS IDENTIFICATION.
SIGNATURE OF NOTARY PUBLIC /� TYPE OR PRINT NAME OF NOTARY PUBLIC (seal)
COMMISSION NUMBER Fj� 1O y O V 3
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.
dCE..
NICOLE ORTADO
Rev:11/25/2014 NOTARYPUBLIC
STATE OF FLORIDA
?Comm#FF180038
- Expires 1211/2018
E
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 banners),flags,or pennants will be placed on the property(see example below).
Example Only
North
.Promotional
/flags along
Front of Us 2
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.