GENERAL PROVISIONS (Applicant - read thoroughly, sign, and date)
1. No work may begin until a permit is issued.
2. The permit may be revoked if any false statements are made herein.
3. If revoked, all work must cease until permit is re-issued.
4. Certificates of Occupancy for new development will not be issued until conditions of this permit are met.
5. The permit will expire if no work is commenced within six months of issuance.
6. Applicant is hereby informed that other permits may be required to fulfill local, state, and federal regulatory
requirements.
7. Applicant hereby gives consent to the City of Morgantown regulatory departments to make reasonable inspections
required to verify compliance.
8. The flood hazard boundary maps and other flood data used the the City of Morgantown in evaluating flood hazards
to proposed developments are considered reasonable and accurate for regulatory purposes and are based on the best
available scientific and engineering data. On rare occasions, greater floods can and will occur and flood heights may
be increased by man-made and natural causes. Issuance of an exemption certificate does not imply that developments
outside the identified areas of special flood hazard will be free from flooding and flood damage. Issuance of an
exemption certificate shall not create liability on the part of the City of Morgantown or any officer and employee of
the same in the event flooding or flood damage does occur.
9. I, THE APPLICANT, CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO THIS
APPLICATION ARE, TO THE BEST OF MY KNOWLEDGW, TRUE AND ACCURATE.
Date:Applicant Signature:
7. Local Administrator Signature:
5. Work Inspected by:
Date:
4. Elevation Certificate Attached: Yes No
3. As-Built lowest floor elevation:
feet NGVD.
2. Is "NO Rise Certification" and supporting data attached? Yes No
1. Are other Federal, State, or local permits required?
ADMINISTRATIVE USE ONLY
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6. Permit Approved: Yes No (statement attached)
Note:
