HomeMy WebLinkAboutTemporary Special Event I YO le
OFFICE USE ONLY: DATE FILED: ': PERMIT#:
Cost: $55.00
PLANNING&DEVELOPMENT SERVICES
BUILDING&CODE REGULATIONS DIVISION
2300 Virginia Avenue
R.Pierce,FL 34982-5652
772-462-1553 Fax 772-462-1578
APPLICATION FOR TEMPORARY USE PERMIT
BUSINESS NAME:
NAME OF EVENT: �i�/✓V Q9 I" �'a N���
LOCATION AND ADDRESS OF TED)ekM ORY USE EVENT: +��
PROPERTY TAX IDENTIFICATION M r3 7.. 6!Cot DDD ®®DD ZO
DESCRIPTION OF TEMPORARY USE: �'a fid./l 9 )Oee�-rr
DATES OF THE EVENT:..M&et4 t-7
�19 4 19, ,20
I IfAPPLICANT'S NAME:
APPLICANT'S STREET ADDRESS: ^L'
CITY: �C5&/V ?gw e 'J, STATE: t)-• ZIP CODE:5AA—,5' 7
WILL THE EVENT HAVE A TEMPORARY LIQUOR LICENSE:YES Y—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 CO GREE TO CONFORM TO
ST.LUCIE COUNTY LAND DEVELOPMENT CODE,SECTION 8.02
PRINT APPLICANT'S NAME c SIGNA RE OF APPLICANT
STATE OF FLORIDA,COUNTY OF
ACKNOWLEDGED B FORE ME THIS _ DAY OF ,20 L
BY WHO IS PERSONALLY KNOWN TO ME)L,
RO HAS PR UCED AS IDENTIFICATION.
WH1�5on
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
TITLE: NOTARY PUBLIC COMMISSION NUMBER: v�D
SLCPDS 10/19/2015
",58 PioM
, CARLA NELSON
Notary Public-State of FlorldaCommission M FF 965535
�tdF My Comm..Expires Feb 26,2020
PERMISSION FROM OWNER OF PROPERTY
DATE: °�1 ►V
AS OWNER OF THE FOLLOWING DESCRIBED PROPERTY,I AUTHORIZE A A-1"q
TO HOLD A TEMPORARY USE EVENT.
PROPERTY TAX IDENTIFICATION#: 1,16S0_02, 6_61 00,D e!)-2s,216/0
LEGAL DESCRIPTION OF PROPERTY: / -/
PROPERTY ADDRESS: �75�1 DC g11I ��CV'�� Jed"<� �� /"! A4 ^7
OWNER INFORMATION:
PROPERTY OWNER'S NAME: AV
PROPERTY OWNER'S ADDRESS: q!E S ��� �✓ n_
CITY: � � �✓ j� ,1-� STATE: �� ZIP CODE: `I'"1 SE'
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PRINT OWNER'S NAME IGNATURE OF OWNER
STATE OF FLORIDA,COUNTY OF
ACKNOWLEDGED BEFORE ME THIS DAY OF �'' 20-11,
By&611WHO IS PERSONALLY KNOWN TO ME,&,
-OR WHO HAS PRODUCED AS IDENTIFICATION.
( ; a I L, c � Nldsan
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
TITLE: NOTARY PUBLIC COMMISSION NUMBER: a
t,.a..
CARLA NELSON sear
�. Notary Public-State o}
'oma; Commission a FF 955535
Fq•'' My Comm.Explree""Fab Florida2h ZOlO
SLCPDS 10/19/2015
SAINT LUCIE COUNTY FIRE DISTRICT
FIRE PREVENTION BUREAU
PERMIT
�4
To whom it may concern: Permit Number TENT PERMIT
By virtue of the provisions of the Saint Lucie County Fire Prevention Code.
Date January 18 2017
Contractor Nettle's Island Address 9801 S Ocean Blvd
City [Jensen Beach State FL Zip 34957
Having made application in due form,and as the conditions,surrounding,and arrangements are,in my opinion,such that the intent of the
code can be observed,authority is hereby given and the PERMIT is Granted for the installation Of.
1 each 60 x 120 Tent Pemit-Set Up on March 15,2017-Tear down on March 21,2017-NO SMOKING IN TENTS
Project Name Nettle's Island Spring Festival Address 19801S.Ocean Blvd
City Jensen Beach State FL Zip 34957
This permit does not take the place of any license required by law and is not transferable. Any change in the use or occupancy of the
premises shall require a new permit.
Days Valid f 7 Contractor Fire Marshal DEREK FOXX
THIS PERMIT SHALL AT ALL TIMES BE KEPT POSTED ON THE PREMISIES LISTED ABOVE.