Fillable SIGN PERMIT APPLICATION (Town of Knightdale)

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SIGN PERMIT APPLICATION (Town of Knightdale)

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T O W N O F K N I G H T D A L E
DEVELOPMENT SERVICES DEPARTMENT
www.knightdalenc.gov
950 Steeple Square Court
Knightdale, NC 27545
(v) 919-217-2242
(f) 919-217-2249
SIGN PERMIT APPLICATION
Chapter 12 of the Unified Development Ordinance (UDO) specifies the standards for signage being proposed within the Town of
Knightdale and its extraterritorial jurisdiction (ETJ). The Zoning Compliance Permit portion of this Sign Permit Application is required
for all signage that is not listed as exempt under Section 12.4 of the UDO. Most signs, except for those in which only the sign face is
being replaced, will also be required to fill out the Commercial Building Permit portion of this Sign Permit Application.
Please return the completed application to the Development Services Department with the required filing fee and information.
THIS SPACE FOR DEVELOPMENT SERVICES STAFF ONLY
CASE NUMBER: SP - - SUBMITTAL DATE: X-REFERENCES:
FILING FEE AMOUNT PAID: INITIAL FOR PAYMENT COLLECTED:
(Failure to submit all items will result in the delay of your application. Applications which are not complete with be returned to the
applicant with a notation of deficiencies. No application shall be accepted by the Land Use Administrator unless it contains all of the
information necessary to determine if the signs, if completed as proposed, will comply with all of the requirements of the UDO.)
SUBMITTAL REQUIREMENTS:
* COMPLETED APPLICATION FORM. Application must be signed by the applicant and property owner.
* $75.00 PROCESSING FEE. (Commercial Building Permit fees, if applicable, will be calculated and due upon receipt of permit.)
* 4 COPIES - SKETCH PLAN/PLOT PLAN FOR MONUMENT SIGNS. In accordance with Section 16.4 of the UDO, the sketch plan
for a monument sign or other ground sign should include the property boundaries, the location of existing/proposed structures and the
location of existing/proposed signage. The location of proposed signage should be easily identifiable on the sketch plan.
* 4 COPIES - BUILDING ELEVATIONS FOR WALL SIGNS. Building elevations must show the existing building facade, including its
overall height and width, along with the proposed signage drawn/imposed to scale.
* 4 COPIES - SCALED DRAWINGS. Each proposed sign must be shown on a scaled drawing that identifies color, materials,
dimensions (and in the case of a Commercial Building Permit, all other information required by the NC Building Code necessary for
the issuance of a building permit).
ZONING COMPLIANCE
PROJECT NAME:
PROJECT ADDRESS:
WAKE CO. PIN#(s):
SHOPPING CENTER:
ZONING DISTRICT: SITE ACRES: INSIDE CORPORATE LIMITS?:
APPLICANT:
ADDRESS:
PHONE: FAX:
SIGNATURE:
SIGNATURE:
ADDRESS:
LAND OWNER:
DATE:
EMAIL:
DATE:
EMAIL:
FAX:PHONE:
Print Form
APPLICATION FOR COMMERCIAL BUILDING PERMIT - SIGNS
950 Steeple Square Court
Knightdale, NC 27545
(v) 919-217-2241
(f) 919-217-2249
www.knightdalenc.gov
DEVELOPMENT SERVICES DEPARTMENT
T O W N O F K N I G H T D A L E
**PIN# ________________________________________ Zoning: ________________________ Book of Maps: ___________ Page: __________
Acres: ________________ Census Tract: ___________ Flood Certification Required? Approved By: ____________________________
Water Supply: __________________ Wastewater: ____________________ Provider: ________________________________________________
Conditions of Permit: ______________________________________________________________________________________________________
APPROVED BY: _______________________________________________________________________ DATE: ______________________
PERMIT #
Applicant:
Date:
Jurisdiction: KNIGHTDALE
Property Owner:
Address:
Project Address:
Existing Use:
Multiple Tenant Sign?
Proposed Use:
Work Type:
Construction Type:
TRADE CONTRACT COST FEE**
Electrical
Building*
TOTAL
* Building Cost = Total Cost Less Subcontract Costs Listed Above. ** Areas for Office Use Only.
Sign Installer:
Address:
Email:
Primary Contact:
Electrical Contractor:
Address:
Directions:
DATE:
SIGNATURE:
Fax:
Phone:
Lic.#
Zip:
City/State:
City/State: Zip:
Lic.#
City/State: Zip:
Phone:
950 Steeple Square Court
Knightdale, NC 27545
(v) 919-217-2241
(f) 919-217-2249
www.knightdalenc.gov
DEVELOPMENT SERVICES DEPARTMENT
T O W N O F K N I G H T D A L E
APPLICATION FOR COMMERCIAL BUILDING PERMIT cont.
TOWN OF KNIGHTDALE / WAKE COUNTY BUILDING INSPECTIONS
AFFIDAVIT OF WORKERS' COMPENSATION COVERAGE
NORTH CAROLINA GENERAL STATUTES 87 AND 97
The undersigned applicant for Building Permit Number ______________, being the:
Unlicensed Contractor Owner Officer/Agent of the Contractor/Owner
License #:
do hereby positively declare under penalties of perjury that the person(s), firm(s), or corporation(s) performing the work
set forth in the permit (check one):
has/have three (3) or more employees and have obtained workers' compensation insurance to has/have one (1)
or more subcontractor(s) and have obtained workers' compensation insurance to cover them,
has/have one (1) or more subcontractor(s), who has/have no employees and have waived in writing their right to
coverage by their contractor or if required have their own policy of workers' compensation covering themselves,
has/have not more than two (2) employees and no subcontractors,
has/have paid the licensing tax for General Contractors as required by the Revenue Act of the State of NC,
has/have applied for permit where the project cost is under $30,000 and I am therefore exempt from Licensed
General Contractor requirements specified by G.S. 87-14,
has/have applied for permit under owner exception to the licensing requirements by mandating occupancy of the
premises for 12 months following completion of the project,
while working on the project for which this permit is sought. It is understood that the Wake County Inspections Division
may require certificates of coverage and/or waivers of workers' compensation insurance coverage prior to issuance of the
permit. This document must be signed by the owner of a proprietorship, partner in a partnership, officer or manager of a
LLC, or property owner (as the case may be) appearing as the contractor on the building permit.
NOTE: Signature to be either witnessed by a representative of the Town of Knightdale or Notarized.
FIRM/PROPERTY OWNER NAME:
OFFICER/PARTNER/FIRM OWNER:
TITLE: SIGNATURE: DATE:
WITNESSED: PLAN REVIEWER
Sworn to and subscribed before me this ______ day of _____________________, 20_______. INITIALS ___________
NOTARIZED:
______________________________ (SEAL) My Commission
Signature of Notary Expires on ___________________, 20_______.
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SIGN PERMIT APPLICATION (Town of Knightdale)

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Completed 3 August 2020

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