Sign Permit Application

Date(Required)

Job Address(Required)

Street Address City State ZIP Code

Owner(Required)

Phone(Required)

Owner Mailing Address(Required)

Street Address City State ZIP Code

Contractor(Required)

License No.(Required)

Phone(Required)

Contractor Mailing Address(Required)

Street Address City State ZIP Code

Architect or Designer(Required)

License No.(Required)

Phone(Required)

Architect or Designer Mailing Address(Required)

Street Address City State ZIP Code

Use of Building(Required)

Description of Work(Required)

ATTACH BLUE PRINTS AND SITE PLAN

File(Required)

Max. file size: 200 MB.

Valuation of Work(Required)

REVIEW NOTICE & SIGN BELOW

THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED.

I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE THE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.

Type Name for Signature(Required)

Date(Required)

Signature Agreement(Required)

By checking this box, I agree that the signature will be the electronic representation of my intent to sign this document and will carry the same legal weight as a handwritten signature.

Sign Permit Application

ATTACH BLUE PRINTS AND SITE PLAN

**REVIEW NOTICE & SIGN BELOW**

REVIEW NOTICE & SIGN BELOW