HomeMy WebLinkAboutBuilding Permit Application OFFICE USE ONLY. DATE FILED: 1 PERWf#:
Cost: $55.00
r � PLANNING&DEVELOPMENT SERVICES
F BUILDING&CODE REGULATIONS DIVISION
2300 Virginia Avenue (�
R.Pierce,FL 34982-5652
772-462-1553 Fax 772-462-1578 �Q
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APPLICATION FOR TEMPORARY USE PERMIT
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BUSINESS NAME: /
NAME OF EVENT.
LOCATION AND ADDREW OF TEMPORY SE EVENT:
/g� 1 i2)j Li:Li& Air
PROPERTY TAX IDENTIFICATION#:
DESCRIPTION OF TEMPORAR USE: I�ak e u'o a -ZA
DATES OF THE EVENT: g-5
APPLICANT'S NAME: e- lji jW 5-44
APPLICANT'S STREET ADDRESS: `�--
CITY: i7 f ' 'I'G�.� STATE: ZIP CODE:
WILL THE EVENT HAVE A TEMPORARY LIQUOR LICENSE:YES NO
WILL 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 (Only 1 per 300 linear feet;32 sq ft max size)
I HEREBY ACKNOWLEDGE THAT THE ABOVE INFORMATION IS CORRECT AND GREE TO CONFORM TO
ST UCIE OUNTY D DEVEL PMENT CODE,SECTI .02J.
4�,
P APPL ANT'S NAME SIGNATURE OF APPL ANT
STATE OF FLORIDA,COUNTY OF��. `- e,��
ACKNOWLEDGED BEFORE ME THIS _ DAY OF � V\e
By L .� W� 1� WHO IS PERSONALLY KNOWN TO ME
OR WHO HAS PRODUCED L- AS IDENTIFICATION.
SIGNATURE OF �OT�����
TYPE OR PRINT NAME OF NOTARY
TITLE: NOTARY PUBLIC COMMISSION NUMBER: 5�� 1
SLCPDS 1912 DEANNA GIVENS
„
SPRY PVB.i
Notary Public State of Florida
My Comm.Expires Dec 16,2016
r'• ho= Commission#EE 858761 Assh.
'"OF F`°�' Bonded Th9
rou h National Notary
RECEIVED JUN 0 8 7016
June 3, 2016
To whom this may concern:
I, Guy Sperduto the owner of Lakewood Park Plaza Turnpike Feed Road
Ft. Pierce gives permission to Abagaii�ls��Florist at 5184 Turnpike Feeder
Road to sponsor a fund raiser for Manny's Fur Kids event on the 4t of June 2016
between hours of 12:00 to 3:00 PM.
Guy Sperduto
(seal) NOTARY PUBLIC
My Commission Expires:
ga�a�ev, 9AMMiA C.CRUZ
is MY COMMISSION#is 032047
f3t(�iMe!k0tomb®r 17,2016
' l3ohded thiu Nolary hbile Ur1CeMYilem