Fillable Sign Permit Application2 - Sign Permit_Application Fin 11-1-11

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Sign Permit Application2 - Sign Permit_Application Fin 11-1-11

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U.S.A. forms for City of Gulfport Mississippi

BROWSE CITY OF GULFPORT MISSISSIPPI (MS) FORMS

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CITY
OF
GULFPORT
SIGN
PERMIT
APPLICATION
VER.
11/1/11
PLEASE PRINT LEGIBLY
APPLICATION DATE:_________________
APPLICATION #___________________
1410 24
th
Avenue, Gulfport, Mississippi 39501
(228) 868-5715
Please read and fill in ALL information that is
requested. Failure to complete this application
may result in a delay in issuing the desired
permit.
CALL BEFORE YOU DIG! 1-800-227-6477
SIGN OWNER INFORMATION
SIGN OWNER NAME:
ADDRESS:_______________________________________________________________________
Street City State Zip
CONTRACTOR INFORMATION
CONTRACTOR COMPANY NAME:
PHONE NO:(______)_________________ GULFPORT LICENSE #
CONTRACTOR NAME: ____________________________________________________________
Last First
ADDRESS:_______________________________________________________________________
Street City State Zip
EL. CONT:___________________________
PROPERTY INFORMATION
JOB STREET ADDRESS:___________________________________________________________
JOB AD VALOREM TAX PARCEL NUMBER:_________________________________________
(REQUIRED FOR ISSUANCE)
IF METES AND BOUNDS ATTACH PHOTOCOPY OR DEED OR SURVEY WITH LEGAL DESCRIPTION
PROPERTY OWNER NAME:________________________________________________________
Last First
ADDRESS:_____________________________________________________________________
Street City State Zip
PHONE NO: (______)__________________________
PERMIT INFORMATION
______________ ENGINEER___________________ DESIGNER________________ ARCHITECT
STATE OF MS REG#:_________________________ PHONE NO.:(______)_________________
NAME:__________________________________________________________________________
ADDRESS:_______________________________________________________________________
I HEREBY CERTIFY THAT I HAVE READ THIS APPLICATION AND THAT ALL
INFORMATION CONTAINED HEREIN IS TRUE AND CORRECT; THAT I AGREE TO
COMPLY WITH ALL APPLICABLE CODES, ORDINANCES AND STATE LAWS
REGULATING BUILDING CONSTRUCTION; THAT I AM THE OWNER OR AUTHORIZED TO
ACT AS THE OWNER’S AGENT FOR THE HEREIN DESCRIBED WORK; AND THAT THE
TOTAL CONTRACT OR VALUATION IS: $____________________________________________
DATE:________________ SIGNATURE:_______________________________________________
SIGN TYPE:
STATIC SIGN
DIGITAL SIGN
LOCATION DESIGNATION:
ON-PREMISES SIGN
OFF-PREMISES SIGN.
WORK CLASS:
NEW SIGN CONSTRUCTION
ALTERATION OF EXISTING SIGN
REPAIR OF EXISTING SIGN
RELOCATION OF EXISTING SIGN
ARCHITECTURAL FACADE REQUIRED
OTHER
ADDITIONAL INFORMATION:
DISPLAY AREA
(
SQ
.
F
T
.
)
:
LENGTH
:
WIDTH:
HEIGHT:
ARE ANY STRUCTURES EXISTING ON
PROPERTY? (Y/N):_________________________
ATTACH CREDIT CERTIFICATE
REQUIRED FOR THE CONSTRUCTION OF
ANY NEW OFF-PREMISE SIGN UNDER
SECTION 9-122 OF THE SIGN ORDINANCE
OFFICE USE ONLY
ZONING DISTRICT:___________________ AEAZD:_____________________ WARD:___________ SPECIAL FLOOD HAZARD AREA:_____________________________
FIRE DISTRICT (Y/N)______________ PROPOSED USE:__________________________________________ REPORT CODE:_____________________________________
ARC REVIEW REQUIRED (Y/N):____________________________ ARC APPROVAL DATE:_____________________________________________________________ \
APPROVAL DATE:________________________________________ APPROVED BY PLANNING:_________________________________________________________
APPROVAL DATE:________________________________________ APPROVED BY BUILDING:__________________________________________________________
APPROVAL DATE:________________________________________ APPROVED BY CODE ENFORCEMENT:______________________________________________
***STAFF APPROVAL OF THIS APPLICATION EXPIRES AFTER 45 DAYS IF A PERMIT IS NOT ISSUED***
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Sign Permit Application2 - Sign Permit_Application Fin 11-1-11

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Completed 12 July 2020

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