HomeMy WebLinkAboutApplication for Zoning Compliance - Use Permit RECEI'.7D AUG 1 S 2616
Receipt#: as Planning Tech: Permit#:
W NOT,;':` "'" Y, PLANNING&DEVELOPMENT SERVICES DEPARTMENT
,� BUILDING&CODE REGULATION DIVISION
10 2300 VIRGINIA AVENUE
—000 FORT PIERCE,FL 34982-5652
772-462-1553
APPLICATION FOR PROMOTIONAL FLAGS,BANNERS,&PENNANTS
1. LOCATION/SITE ADDRESS: C 25 — �L_ •�7
2. PARCEL ID NUMBER: `f1 50119156
3. DISPLAY PERIOD START DATE: 0 2E/1 m /I
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: -. i Name: t1 1 .?-==C'JrAx.:?7A
Address; 1 Q� -,1v'. �P &4 Business Name:
City:-J2r)'S�n State: ::FL
Address:iS i- cel { �( c.�S�
Zip: Phone: –?7 2--'F7 fr- b V g City: `i.�.a State: t.
Zip:.2A- G, 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 zoning.
FRINP OWNEI R AGENT NAME SIGNATURE OF R OR AGENT
STATE OFfCO Y OF � � t a1 }!
THE FOREGOING INSTR�NT WAS ACKNOWLEDGED BEFORE ME THIS ` t DAY OF 20 i S7By t7 u ( WHO
IS PERSONALLY KNOWN BY ME OR WHO HAS PRODUCED (LJ[�c C��r �I� �"G AS IDENTIFICATION.
SI
GNATURE OF NOTARY PUBLIC TYPE OR PRINT NAME OF NOTARY P ftMas riCkIey
COMMISSION NUMBER NOTARY PUBLIC
NOTE:ACCORDING TO SECPION 9.01.02(C),ST.LUCIE COUNTY LAND DEVELOPMENT CODE 0 MORE YEAR
SHALL Be. ISSUED TO ANY ONE PARCEL OR ComMoN DEVELOPMENT SITE FOR NO MORE i l Ti3R I g"U' 27�2018
DAYS PER YEAR. wn��It7 9
Rev.1IM/2014