Sign Permit Application-Applicant'S Certification Form

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S I G N P E R M I T A P P L I C A T I O N
Date:
Permit # _________________________________
PIN # _____-______-______-______
Decal # __________________________________
Zoning Classification: ______ Case # _____________ Overlay _____________Total Permit Fees $___________
**NOTE: This form was last revised for use after October 3, 2007. Only this form may be used to acquire a permit subsequent to that date.**
TO ENSURE THAT YOUR APPLICATION WILL BE PROCESSED, ALL APPLICABLE INFORMATION MUST BE PROVIDED:
Check one:
Multi-Business Development _______
Single Tenant Suite______
Residential Development ______
Property Owner(s) of Record: ____________________________________ Phone: _____________________
Affidavit Provided? [ ] Yes [ ] No
Site Address
__City: ___________________Zip: _________ Suite No. _________
Tenant Finish MUST Provide Tenant or Occupant’s Name or Title: __________________________________________________
Subdivision or Project Name ___________________________________ Unit/Phase No. __________ LDP# ________________
Describe Purpose of Sign:
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
SIGN CONTRACTOR:
Business Name _______________________________________________________Telephone No.
Address __________________________________________________________ City ___________________ State _______ Zip
Fax No. ____________________________________ E-mail
Alternate Phone No. ________________________
Business License No. _______________________ County/City _____________ State Contractor’s License No.
APPLICANT/CONTACT PERSON __________________________________________________ Telephone No.
Address __________________________________________________________________ City ___________________ State
Alternate Phone _______________________ Fax No. ________________________ E-mail Address
________
SIGN INFORMATION
“All signs shall be set back at least ten (10) feet from the right-of-way or twenty (20) feet from the edge of pavement, if a private street. If on a public street, all signs must be
located behind required setback lines, buffers, landscape strip or other required improvements along the right-0f-way. All free-standing and monument type signs shall
have and display the assigned street number, with lettering of a minimum 4” high along major collectors and 3” high along minor collectors. A permit does not create a
vested right to maintain any sign which violates any terms of Article 33 of the Fulton County Zoning Resolution or any other law. A permit issued based on false information
and/or in violation of Article 33 or Article 12 of the Fulton County Zoning Resolution is void.”
[ ] No Existing Sign(s) on site at this time.
New Sign Information: [ ] Permanent [ ] Temporary
Existing Sign Information: [ ] Permanent [ ] Temporary
[ ] Wall Sign [ ] ID Monument [ ] Freestanding
[ ] Wall Sign [ ] ID Monument [ ] Freestanding
Other type: __________________________________
Other type: __________________________________
Height Above Grade: __________________________
Height Above Grade: __________________________
Material: ______________Sign Dimensions: _______
Material: ______________Sign Dimensions: _______
Beginning Date: __________Ending Date: _________
Beginning Date: __________Ending Date: _________
Message: ____________________________________
Message: ____________________________________
*Ground sign: Setback from right-of-way: ________
*Ground sign: Setback from right-of-way: ________
*Wall sign: Area of face of Building: _____________
*Wall sign: Area of face of Building: _____________
APPLICANT’S CERTIFICATION
I hereby certify that the site described herein will be constructed and/or used in accordance with all applicable zoning ordinances and laws
governing signs and that this permit is being issued to the owner or an owner’s agent, and that no one other than the owner or licensed
subcontractors to the owner can perform work under this permit.
Applicant’s Signature
Date
Sworn and Attested before me this ______________________________ day of ______________. 20 ___.
_________________________________________ Notary Public
(Seal)
APPROVED: _________________________________________________________________________ Date: ________________________
APPLICATION IS NOT COMPLETE UNLESS SIGNED AND NOTORIZED
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