City of Rocky Mount Inspection Services
SIGN PERMIT APPLICATION
Instructions: Complete all pertinent fields, then read the information at the bottom of the form. Click the Submit button to send the information; click Clear to start over.
Applicant Name: Date:
Project Address: Subdivision:
Developer: Telephone:
Property Owner: Telephone:
Sign Contractor: State License #:
Address:
City: State: Zip Code: Telephone:
Project Supervisor: Telephone:
Description of Work
Type of Work (check all that apply):   Erect    Alter    Repair
Type of Sign (check one):   Free Standing    Sandwich    Other
Size of Sign:   Width (Ft. - In.)    Length (Ft. - In.)
Are there any other existing signs on the property?   No    Yes
If Yes, please give size and type:
Fee Schedule (Applies per sign) New, Alter, Repair
  • Up to 50 Square Feet $65.00 ea
  • Over 50 Square Feet $ 65.00 plus $.25 per sq. ft. above 50
  • A Home Occupation allowed one- one square foot incidental sign
  • Failure to Obtain Permit $250.00
Total Cost of Sign (Exclusive of Lot):
The work covered by this sign permit is to be done by:
Day Labor , Contractor
Total Fees
Comments:
For free standing signs, please provide a site plan showing the proposed location of the sign to be erected.

I hereby certify that all the information in this application is correct and all work will comply with the State Building Code and all other applicable State and local laws, ordinances and regulations. The Inspection Department will be notified of any changes in the approved plans and specifications for the project permitted herein. I further understand that this is NOT an authorization to begin work. Work may only commence after approval and issuance of the permit.

Owner/Applicant E-mail Address:
Daytime Phone: