HomeMy WebLinkAboutApplication for Zoning Compliance - Use Permit p
OFFICE USE ONLY: DATE FILED:`ti Z� a PERMIT#: ;IA
Cost: $55.00
PLANNING&DEVELOPMENT SERVICES
BUILDING&CODE REGULATIONS DIVISION
2300 Virginia Avenue
Ft.Pierce,FL 34982-5652
772-462-1553 Fax 772-462-1578
APPLICATION FOR TEMPORARY USE PERMIT
BUSINESS NAME:
NAME OF EVENT: ?fG l 'f � C�1v�LC► ��V��
LOCATION AND ADDRESS OF TEMPORY USE EVENT: �L -:E)
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PROPERTY TAX IDENTIFICATION#: 391`f 'Sa( - I I �—
DESCRIPTION OF TEMPORARY USE: A DA�N(rl-. 90:) n cdt+ro, - 4,aaxens Qt erre5
DATES OF THE EVENT: p,/ �'- I D -I b
APPLICANT'S NAME: Colo 1
APPLICANT'S STREET ADDRESS:
CITY: 0"�'� 5� I,UUSTATE: (_ ZIP CODE:
WILL THE EVENT HAVE A TEMPORARY LIQUOR LICENSE:YES NO
WILL THE EVENT HAVE A TENT(s):YES X—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 AGREE TO CONFORM TO
SIT.�LUCIE CgUNTY LAND DEVELOPMENT CODE,SEC ON 8.02.02J.
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PRINT APPLI ANT'S NAME GNATURE F APPLICANT
I
STATE OF FLORIDA,COUNTY OF '�
ACKNOWLEDGED BEFORE ME THIS DAY OF 20 I�, z 0 Derv,P.
BYQ.�C�L� C9b�� WHO IS PERSONALLY KNOWN TO ME
OR WHO HAS PRODUC AS IDENTIFICATION.
SIGNATURE OF NOTAR TYPE OR PRINT NAME OF NOTA+ Y e '
TITLE: NOTARY PUBLIC COMMISSION NUMBER:
SLCPDS 10/19/2015
NIICOLASA CRESPO
�'• MY COMMISSION#FF972420
EXPIRES March 17,2020
X07 30"16 3Ww.ow
PERMISSION FROM OWNER OF PROPERTY
DATE: / �� b
AS OWNER OF THE FOLLOWING DESCRIBED PROPERTY,I AUTHORIWE 0C 4aJqCe CA-4�
r TO HOLD AUTEMPORARY USE EVENT.
PROPERTY TAX IDENTIFICATION#:
LEGAL DESCRIPTION OF PROPERhT� (`,�f2
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PROPERTY ADDRESS: t' �P „( � �U US/ivy 1 SA
OWNER INFORMATION:
PROPERTY OWNER'S NAME: F-w(dif, /mfl PJd'LG(f
PROPERTY OWNER'S ADDRESS: r _ -71d 7
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CITY: V�},6ty CiI(5 D
CD(�'N� fes/ STATE: ZIP COE:S�lv?
m(CA 6( 62
PRINT OWNER'S NAME SIGNATURE OF OWNER
STATE OF FLORIDA,COUNTY OF S'� Vyo—v-
ACKNOWLEDGED BEFORE ME THIS DAY OF ` �M�e� 40
BY ®r,�� �'P �'�-'C^ WHO IS PERSONALLY KNOWN TO ME
OR WHO PRODUCED -4 �! AS IDENTIFICATION.
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
TITLE: NOTARY PUBLIC COMMISSION NUMBER: yFQ-1ZlAa®
' NIGGLASA CRESPO
' MY COMMISSION#FF972420
EXPIRES March 17,2020
(SOT 3Y&0107 ,�,
SLCPDS 10/19/2015