Planning & Development Department
Building Permit Application
HEIGHT WIDTH AREA
DETAILED WORK DESCRIPTION
ILLUMINATED?
ADDRESS
CITY STATE ZIP CITY STATE ZIP
CONTACT NAME PHONE CONTACT NAME PHONE
EMAIL EMAIL
P
N/A
SIGNS
FOR OFFICE USE ONLY
TRACKING NUMBER:
GOTO(S):
ALL
Building Plan
3
Freestanding / Off-Site Signs
Site Plan or Grading & Drainage Plan
7
Other:______________________________
_____________________________________________
______
Freestanding Signs ≥6'
Structural Calculations
3
Wall / Canopy Signs
Site Plan or Aerial
7
FT
APPLICANT
SCOPE OF WORK
REQUIRED DOCUMENT
COPIES
ALL
Complete Permit Application Form
1
NO
YES
Building permit #:
B______________________
YES NO
$
ADDRESS
COMPANY NAME (IF APPLICABLE)
SIGN #2
FT
PROJECT VALUATION
FT
SF
LICENSE NUMBER
TRUST ACCOUNT NUMBER
__________________________________
__________________________________
__________________________________
COMPANY NAME
Violation case #:
V______________________
WATER:
WELL
HAULED
COMPANY:_______________________
UTILITIES TO PROPERTY (CHECK ONE AND FILL IN BLANK IF APPLICABLE)
WASTE WATER:
SEWER
SEPTIC
OTHER:___________
SIGN #1
FT
FT
SF
CONTRACTOR INFORMATION (REQUIRED)
SIGN #2
FT
ELECTRIC:
APS
SRP
2. Is there any other construction occurring on this property right now?
NO
YES
Building permit #:
B______________________
3. Is / Was there a permit for a tenant improvement at this location?
CHECK "NO" OR "YES". PROVIDE THE RELATED INFORMATION IF APPLICABLE.
1. Are there any code violations on this property?
NO
YES
PROPERTY INFORMATION
PROJECT INFORMATION
PARCEL NUMBER
NEAREST CROSS STREETS
SIGN TYPE
WALL / CANOPY
SIGN #1
FT
FT
SF
PROJECT ADDRESS
SIGN #2
FT
FT
SF
FT
SF
APPLICANT INFORMATION
CHECK ONE
AGENT ARCHITECT/ENGINEER OWNER SAME AS CONTRACTOR
OWNER NAME / COMPANY
FREESTANDING
SIGN #1
FT
FT
SF
SIGN #2
FT
CITY
ZIP
, AZ
SF
OFF-SITE SIGN
SIGN #1
FT
FT
SF
01/28/2020
501 North 44th St, Suite 200 - Phoenix, AZ 85008 - (602) 506-3301 - (602) 506-3282 fax
www.maricopa.gov/planning
Page 1 of 2
Planning & Development Department
Building Permit Application
INITIALS:
PERSONAL GUARANTEE OF FINANCIAL RESPONSIBILITY
INITIALS:
PERSONAL ASSURANCE OF SUBMITTAL ACCURACY
INITIALS:
ACKNOWLEDGEMENT & AGREEMENT
PRINT NAME:
SIGNATURE: DATE:
SIGNS
FEE INFORMATION
I am aware and understand the fee information below:
I hereby absolutely, unconditionally and irrevocably guarantee to Maricopa County the prompt payment of any and all fees and charges in
connection with this application, without the necessity of Maricopa County first seeking payment from the named applicant.
This includes that if at any time, a written cancellation is submitted for this project application, I personally
guarantee prompt payment of the balance of any and all fees and charges incurred.
I hereby unconditionally and without reservation guarantee and warranty to Maricopa County that the documents submitted to Maricopa
County Planning and Development, including but not limited to the application materials, provide a true and accurate depiction of the
requested construction and accurately reflect the existing conditions of the subject parcel.
I am aware that Maricopa County Planning and Development will rely upon the accuracy of the materials provided to perform a Zoning
Clearance review, as required in the Maricopa County Zoning Ordinance, Section 1504.5. I have also seen and verified that the submitted site
plan materials include and accurately provide all listed items on the Department’s Site Plan Checklist.
I am aware and understand that the issuance of a Building Permit does not represent that Maricopa County has verified or authenticated the
veracity of any materials submitted in support of the application for permit. I understand that Maricopa County will issue a Building Permit based
upon the subject materials and that any falsification of documentation submitted as part of this permit application may void the Building Permit
upon which it is based.
TRACKING NUMBER:
GOTO(S):
I acknowledge that I am the property owner or I have the authority to represent the property owner on this application as an authorized agent for
the property. Further, I guarantee access to Maricopa County personnel for the purpose of building inspections, zoning enforcement and the
provision of emergency services. I agree to abide by all of the development laws of Maricopa County. The information and plans provided are
correct to the best of my knowledge including recorded lot dimensions and structure locations. I understand filing of an application containing
false or incorrect information, with the intent to avoid the licensing requirement of ARS Title 32, is falsification pursuant ARS section 13-2701 and is a
class 2 misdemeanor.
Owner / Builder will do the work themselves, with their own employees, for owner’s use and not for sale or rental within
one year of completion.
YES
NO
Owner / Applicant is claiming another exemption under ARS, Section 32-1121.A. A signed statement from the Registrar of
Contractors verifying exemption must be attached.
YES
NO
(CHECK ONE):
AGENT
CONTRACTOR
OWNER
FOR OFFICE USE ONLY
For residential projects, there is an online fee estimator to assist with planning / preparing for your
project: www.maricopa.gov/391/Fee-Schedule-and-Estimators
An upfront fee will be required upon acceptance - $260.
Fixed flat fee fror wall sign application / permit - $250.
No additional fees for wall signs.
If the application / permit submittal is not approved on the initial review, full permit fees will be
required at the time the revised submittal is accepted.
Any remaining fee balance must be paid prior to permit issuance.
If a permit application is denied, any unearned fees will be refunded.
01/28/2020
501 North 44th St, Suite 200 - Phoenix, AZ 85008 - (602) 506-3301 - (602) 506-3282 fax
www.maricopa.gov/planning
Page 2 of 2