Chuck Wooley
Building Official
1034 Silver Dr., Ste 103, Greensboro, GA 30642 Telephone 706-453-3333 www.greenecountyga.gov
APPLICATION
SIGN
PERMIT
Main Contact:_________________________________________________________________________________
Address:_______________________________________________ City:_______________GA Zip:
____________
CONTRACTOR INFORMATION
(Copy of business license and certification card if applicable must be provided.)
Name of Company: ____________________________________________________________________________
Business License #______________________________ State License #_________________________________
Contact Phone:______________________________ Email:____________________________________________
Owner:
________________________________________
Phone:
______________________________________
Site
Address:___________________________________________ City:_______________GA Zip:____________
OFFICE
USE
ONLY:
Permit
#: _______________
Permit
Fee:
_____________
Check # ________________ Date:
________________
Zoning
Approval:
________________________________
Final
Approval:
________________________________
Use
Classification:
_______________________________
Type:
_______________________________________
SITE
INFORMATION:
Email:______________________________________________________________________________________
Subdivision:
___________________________________________
Parcel
#:
______________________________
Internal.........______
External.......______
Unlighted.....______
Length in feet
....................______
Width in feet......................______
Total
Square
Feet..............______
Height
(from ground to top)
....______
Shape................................______
EXISTING
SIGNS
ON
SITE
Yes..........................______
No...........................______
SIZE
OF
SIGN
SIGN
LIGHTING
VALUE
OF
SIGN
(AMOUNT
PAID)
_$ _____________
BRIEF
DESCRIPTION:
Printed Name of Applicant:______________________________________________________________________
Signature of Applicant:_____________________________________________ Date: ______________________
Printed Name of Applicant:______________________________________________________________________
Signature of Applicant:_____________________________________________ Date: ______________________
Printed
Name
of
Applicant:______________________________________________________________________
Signature
of
Applicant:_____________________________________________
Date:
______________________
I,
hereby
acknowledge
that
this
application
is
correct
and
I
agree
to
comply
with
all
county
ordinances
regarding
signs.
I
further
understand
that
the
issuance
of
this
permit
is
not
valid
until
the
fee
is
paid,
and
it
is
approved
by
the
Planning
and
Zoning
Dept.
All
work
under
this
permit
must
be
completed
within
ninety
(90)
days
of
its
issuance.
For
a
good
cause,
the
inspector
may
give
a
thirty
(30)
day
extension.
Failure
to
complete
the
sign
in
ninety
(90)
days
shall
result
in
the
expiration
of
the
permit.
NOTICE:
Submit
with
this
application
TWO
(2)
copies
of
a
sketch,
blue
line
print
or
preferably
in
digital
form
showing
dimensions
and
elevations
of
the
sign
as
proposed
on
a
building
facade,
awning,
or
canopy:
provide
further,
the
relationship
to
other
existing
adjacent
signs
shall
also
be
shown.
In
the
case
of
a
free-standing
sign,
said
sketch
shall
include
a
site
plan
showing
the
sign
location
and
any
existing
or
proposed
landscaping
which
is
affected
by
such
sign.
__________________
__________________
__________________
__________________
__________________
FLAG THE PROPESED LOCATION OF THE SIGN ON THE SITE FOR APPROVAL FROM THE PLANNING AND ZONING
DEPARTMENT. SITE LOCATION APPROVAL MUST BE OBTAINED BEFORE INSTALLATION. FAILUIRE TO OBTAIN
PRIOR APPROVAL MAY REQURE RELOCATION AT YOUR EXPENSE.
Greene County Building Inspection Division
click to sign
signature
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click to sign
signature
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