HomeMy WebLinkAboutZoning Compliance/Use Permit t Date: Receipt#: Planning Tech: Permit#:
4•
- PLANNING &DEVELOPMENT SERVICES DEPARTMENT
# BUILDING&CODE REGULATION DIVISION
• 1 0 - 2300 VIRGINIA AVENUE
IIS FORT PIERCE,FL 34982-5652 .
772-462-1553
APPLICATION FOR PROMOTIONAL FLAGS,BANNERS,&PENNANTS
1• LOCATION/SITE ADDRESS: ✓ ,� ( �f���I" �% /%r�� / J//�
2. PARCEL ID NUMBER:
3. DISPLAY PERIOD START DATE:
DISPLAY PERIOD ENDING DATE:
TOTAL NUMBER OF DAYS:
NUMBER OF BANNERSIFLAGS/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 ORMATION 5.APPLICANT INFORMATIOjN'�
Name: G° /�'V/� � �� Name: ,�r� ? 4G'✓• /
Address: �_ S•i BusinessName: -�'L,+� ,/ 4!!Gi�,��3�e�S
City;.% Zfl ee State: ZL Address:,,M 7 .E- 10eyily .s'%'
Zip/�f . Phone: �-461 7Sta _ '
Zip:-7Y5?- Phone: 1-61- 7 gee --
7
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 ning.
,/�. . �'L, `'�I
PRINT OWNER OR AGENT NAME SIGNATURE OFO R OR AGENT .
STATE OF FLORIDA,COUNTY OF
THE FOREGOING INSTRUMENT WAS ACKNOWLEDGED BEF ME THIS DAY OF_t� 20t , �10'
WHO
RSONALLY KNOWN BY ME OR WHO HAS PRODUCE, Ll�S3 I�p •tp 3` AS IDENTIFICATION.
S EZF NOTARY LIC TYPE OR PRINT NAME O OTARY P LI4tPaY'r'-�t�+- LASHAHJt GRAMr'= . Notary Public-State of Florida ,
COMMISSIONNfUMBER T; MyG Comm,Expires Dec 20,2018
NOTE:ACCORDING TO SECTION 9.01.02(C),ST.LUCIE COUNTY LAND DEVELOPMENT COD NO� 1SE1I� 1R
SHALL BE ISSUED TO ANY ONE PARCEL OR COMMON DEVELOPMENT SITE FOR NO MORE
DAYS PER YEAR. -
Rev:Il 25/2014