HomeMy WebLinkAboutAPPLICATION 2nd PAGE - M19-000142 - Landon - RP0RUSTL010070 - New SFR13. Surfaces: (shall include the exterior wall measurements of the building)
Residential: — Fjl(�L ____ _ _ Garage: _._. —1kI
Finished Basement: M � ��°�� � —Unfinished Basement:. t (o57
Bonus Room: Addition:
Closed Shop:_ Open Shop/Shed: _ 0
Commercial: ® AG Building:
Other (specify):
14. Flood Plain:
Are you in a floodplain? Yes No
If yes, which zone are you in?
______ TA . _ _AE__ X_ O
15. Flood Plain Permit #:
If you desire to build in a flood zone you must get a Flood Elevation Certificate from the
Flood Plain Administrator, have your land surveyed to determine the flood elevation, submit
the completed certificate, signed by the surveyor. A hearing will then be scheduled with the
Madison County Board of Commissioners to get their approval and signatures on the
certificate. Once that process it completed and you have the Board's approval, you will be
given a building permit.
Applicant's signature, certification and authorization: I hereby certify that I have
read this application and state that the information herein is correct. I agree to
comply with all County regulations and State laws relating to the subject matter of
this application and hereby authorize representative of Madison County to enter upon
the above-mentioned property for inspection purposes. NOTE: The building official
may revoke a permit on approval issued under the provisions of the 2009
International Codes in case of any false statements or misrepresentation of fact in the
application on which the permit or approval was based..
Sig ture of owner/contfactor
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Building Department
Date
Date
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