Building Permit Application

OVERSIZE/OVERWEIGHT MOVING PERMIT

Check#______Date Paid______Permit Fee $40.00

Owner of Structure ______Phone ______Fax ______
Mailing Address ______Contractor ______Phone ______Fax: ______
Mailing Address ______
Date of Move: ______Time of Move ______
Proof of Current Insurance: ______Yes ______No State Permit Required: ______Yes ______No
Type of Structure: ____ Brick Building ____ Frame Building ____ Frames ____ Tanks ____ Other
Additional Comments: ______
COMPLETE ITINERARY OF MOVE
From/To: ______
GENERAL NOTES:
·  Permit valid only on date shown. Any change to the date shown must be approved through the Road and Bridge Department.
·  This permit is not valid on Saturday P.M. or holidays and becomes void during heavy snow or icy road conditions.
·  Applicant must notify Elbert County Sheriff’s Department at (303) 621-2027, and all relevant utility companies. .
·  Applicant shall take every precaution to protect highways and or streets from damage or injury and will be financially responsible for any damage.
·  It is further understood that this permit is valid only on highway and or streets under the jurisdiction of the Board of County Commissioners and that, under section 68 of the Uniform Building Code of 1935, to operate under an other jurisdiction (State highway or local streets) it is necessary to obtain a separate permit from the entity involved.

X ______

APPLICANT SIGNATURE

IF ADDITIONAL INFORMATION IS NEEDED PLEASE CALL 303-621-3157