Fillable FORM NO. BI 38 Rev. 8/19: Application for (City of Virginia Beach)

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FORM NO. BI 38 Rev. 8/19: Application for (City of Virginia Beach)

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File type: PDF

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FORM NO. BI 38 Rev. 8/19
Application for Moving and Hauling Permit
CITY OF VIRGINIA BEACH ∙ PERMITS AND INSPECTIONS
2875 Sabre Street, Suite 500 ∙ Virginia Beach, VA 23452 ∙ (757) 385-4558
FAX (757) 385-5777 ∙ www.vbgov.com/buildingpermits
Date: ___________________
A permit is hereby requested for the following: Single Trip $75 Blanket $300 Super Load (> 115,000 lbs.) $75
Insurance Carrier Name (required): _________________________________________ Expiration Date: _____________________
Address: _____________________________________________________________________ Phone: _____________________
Permitting Agency Name (if applicable): _____________________________________________ Phone: ____________________
Address: _______________________________________________________________________ FAX: ____________________
Email Address: _________________________________________________________ Cell Phone: ________________________
Hauling Company Name: ________________________________________________________ Phone: ____________________
Address: _______________________________________________________________________ FAX: ____________________
Email Address: _________________________________________________________ Cell Phone: ________________________
Item to be Moved: _____________________________________________________________________ Effective Date: ________________
Route: From (Origin): ______________________________________ To (Destination): ________________________________________
Route of Travel: ______________________________________________________________________________________________________
____________________________________________________________________________________________________________________
Tractor VIN
Tractor License
Trailer
Gross Weight
Axles
Wheelbase
Low Boy
Yes No
Overall Size
FT.
IN.
Height
Front Overhang
Width
Rear Overhang
Length
Front Escort
Rear Escort
Hot Pole
Flagging/Lights
Signs
Yes No
Yes No
Yes No
Bond: Yes No Bond Amount: __________________
Note: see back for Axles and Axles Spacing.
I understand this permit is granted only for the vehicle(s) listed above on this application and not transferable to any
other vehicle(s). I further understand that any inaccurate or misleading information given on
this application invalidates any permit issued under this application.
Applicant’s Name (Print): _________________________________________________________________________________
Applicant’s Signature: ____________________________________________________________________________________
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Application for Moving and Hauling Permit (continued)
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AXLE WEIGHT(s):
Axle 1:
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Moving and Hauling Permit Fees
Type
Amount
Single Trip Permit
$75.00
Blanket Permit (Cranes, etc.)
$300.00
Super Load (Over 115,000 lbs.)
$75.00
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FORM NO. BI 38 Rev. 819: Application for (City of Virginia Beach)

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Completed 4 June 2021

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