Sign Permit Application -Indian Rocks Beach

Sign Permit Application

Permit Fee

Inventory of all existing signs on the same property and/or building on which sign is to be located
Maximum and minimum height of the sign, measured from grade
Dimensions and elevations (including the message and color) of the sign
Detailed drawings showing how the sign is to be constructed and secured
Signs shall have structural drawings signed and sealed by a licensed Florida engineer or architect.
Wind load requirements should conform to the Florida Building Code

Total Value of New Signage

Project Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Description of Work

Type of Sign

Free Standing

Wall Sign

Applicant, Property Owner and Agent Information

Business Name

Mailing Address

Street Address Address Line 2 City State ZIP Code

Business Phone Number

Business Fax Number

Business Email

Property Owner(s)

Property Owner's Phone Number

Property Owner's Fax Number

Property Owner's Email

Agent Name

First Last

(contact person)

Please check if Agent is Contractor

Agent's Mailing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Agent's Phone Number

Agent's Fax Number

Agent's Email

State License Number of Contractor

I certify that all information submitted on this application and attachments thereto are true and correct to the best of my knowledge. I understand that any inaccurate information may result in revocation of the sign permit and removal of any sign erected pursuant to such permit. I will be responsible for the installation of the subject sign in accordance with the City of Indian Rocks Beach.

Print Name of Contractor (or authorized representative)

Signature

Payment Information

Billing Address(Required)

Street Address Address Line 2 City State ZIP Code

Processing Fee

Total

Please note: there is a $3.00 processing fee

Secure Credit Card

Card Holder*

Card Number*

Card Expiration*

Card CVV*