HomeMy WebLinkAbout202201414 - 4765 Independence St - Permit_Page_1From: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Commercial Sign
Date: Thursday, June 23, 2022 11:12:00 AM
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PERMIT APPLICATION Commercial Sign
This application is exclusively for Commercial Signs
YOU MUST ATTACH A VALID ELECTRONIC PAYMENT FORM IN ORDER FOR
THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for Yes
Commercial Signs?
PROPERTY INFORMATION
Property Address 4765 Independence Street Wheat Ridge, CO 80033
Property Owner Name Dr. Joseph Ramos
Property Owner Phone 720-580-8301
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email Ian@ramoslaw.com
Address
Attach City of Wheat FitMD FlectronicPaymentForm 47651ndeoendenceStreet Ddf
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
APPLICANT INFORMATION
Applicant Name Allison Morgan - S2 Signs
What is your role in the General Contractor
project?
Wheat Ridge
190120
Contractor's License
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contact Phone Number
303-484-1443
(enter WITH dashes,
eg 303-123-4567)
Contact Email Address
allison@s2signs.com
for Plan Review
Comments
Retype Contact Email
allison@s2signs.com
Address
DESCRIPTION OF WORK
Scope of Work
Flush -Mount Wall Sign - Channel Letters
Square Footage
38
Name of Business
Fit MD
Location of Sign
East Elevation
Is structural required?
No
Upload any 8 1/2" x 11"
FitMD SitePlan 47651ndeoendenceStreet.2df
pages
Sign Installation Plan
FitMD SianDetail 47651ndeoendenceStreet ndf
Set on 11 "x17" only.
Project Value (contract
2500
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
Person Applying for Allison Morgan
Pe rm it
I attest that everything Yes
stated in this
application is true and
correct and that
falsifying information in
this application is an
act of fraud and may
be punishable by fine,
imprisonment, or both.
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