<p> Exempt Sign Application Planning Division FEE: $55.00. In addition to the application fee, all required building permit costs (if applicable) are to be paid by the applicant. This application is VOID 6 months from the application date. Please call the Planning Division at 239-574-0553 when the sign is installed to schedule a final inspection. GENERAL INFORMATION Property Owner Name Property Owner Phone # Property Address Property Owner E-Mail Block Lot Zoning Strap #</p><p>Business Name (If applicable) Business Phone # Business Address (If applicable) Business E-Mail Certification of Use #</p><p>Contractor’s Firm Name Qualifier Contractor’s Address CC License # Contractor’s Phone # Fax # Email SIGN TYPE Residential Sign (Freestanding /Building)</p><p>Menu Board</p><p>RESIDENTIAL SIGN(S) (Freestanding/Building) Number of Unit(s) Sign Area in Square Feet Height </p><p>Number of Sign(s) Does the sign have a foundation? Yes No Foundation Permit # MENU BOARD(S)</p><p># of Menu Boards Menu Board #1 Menu Board #2 Width Width Height Height</p><p>ELECTRICAL SIGNS (to be completed when signs are illuminated/electronic) Is sign lighted? Yes No If yes, how. Electrical Permit # UL # APPLICATION MATERIAL CHECKLIST (3 Copies)</p><p>Site plan showing lot frontage, streets, alleys Lettering/pictorial matter composing sign with dimensions, </p><p>(freestanding signs) location on building Building Elevation for all other signs Attachment detail showing installation methods</p><p>2014 March 061e8b3f71d48eee7e4d2f7c0bc8c2d3.docx Page 1 of 2 Exempt Sign Application Planning Division APPLICANT SIGNATURE I the undersigned applicant for this permit, hereby certify that the information herein is true and correct to the best of my knowledge, and further that I agree to comply with all applicable codes and ordinances relating to building construction in the City of Cape Coral. </p><p>______Applicant Printed Name Applicants Signature OWNER’S AFFIDAVIT I am the owner of the structure located at </p><p>I am aware of the intent of my tenant, ______,to install sign(s) at these premises and I give permission for my tenant, ______, to erect the proposed sign at the above location. </p><p>I am also aware that if my structure is classified as a Multiple Business or Entity Site, the distribution of freestanding signage among the tenants or occupants is my responsibility. </p><p>______Property Owner Printed Name Property Owner Signature</p><p>Sworn to and subscribed before me this ______day of ______, 20_____, by ______</p><p>_____ Personally Known ______Produced Identification Signature of Notary Public - State of Florida _____ Drivers License No.______</p><p>______Print, Type, or Stamp Commissioned Name of Notary Public</p><p>2014 March 061e8b3f71d48eee7e4d2f7c0bc8c2d3.docx Page 2 of 2</p>