Applicant (Select one)
Phone
Name, if not owner or contractor:
Name
Address
Phone
Company Name
Phone
Address
Fax#
Duration Type
If Temporary, requested duration
Location Type
free standing
monopole
building
Length'
x Height'
x Projection Depth"
Total height of sign structure above grade
Total Square Feet
front yard
side yard
rear yard
North Facade
South Facade
East Facade
West Facade
None
floodlight
electronic
trivision
color of floodlight (s)
continuous
daily
AM
- PM
Sq. Ft.
Amount of seconds between changes
Minimum time of each display in seconds
Will there be any appearance of movement
Date
I hereby certify the code administrator and code inspectors shall have the authority to enter area covered by such permit at any reasonable hour to enforce the provisions of the code (s) applicable to such permit.
Area of Display
Electronic Message Board:
Time of Illumination
Illumination:
Location of Building Sign (s):
Location of free standing sign (s):
Sign Dimensions
(incl. raceway)
Mounting Type:
REQUIRED DOCUMENTS: Submitt one copy of plans for Amity Township and one copy to be returned with permit that must remain available on site. Plans must show details and dimensions for all signage. Building Code Official may require architectural or engineers seal, if desired. Install stakes or pins prior to site inspecition showing location of sign.
Contractor: (Must be licensed in Amity Township. Write SELF if property owner is performing work.
Property Owner: (Where sign will be placed)
(Fees will be assessed and due when permit is completed)
E Mail
Amity Township Sign Permit Application