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Liberty County Building and Licensing Department Building Application Owner/Applicant: Property Address: Mailing Address: Telephone Contact Name & Telephone Contractor: *General: *Electrician: Class of Work: Description of work to be done: Flood Zone: Dimensions: Walkway: Fixed Dock: (open): (covered): Ramp: Floating Dock: Boat Hoist: (open): (covered): Additional Construction or Accessories: Please attach the following: Zoning Approval Letter Approval Letter from the Georgia DNR Copy of Sales Contract Copy of Business License for Dock Contractor Copy of Electricians State and Business License FOR OFFICE USE ONLY Director Approval: Date: Inspector Approval: Date: Map & Parcel # Lot Zoning: Dock New Repair Addition In order to obtain a permit for a dock you must have the following information. ---PAGE BREAK--- LCPC Use Only Zoning Permit Tax Map & Parcel # : You can obtain this number by calling the Tax Assessor's Office at [PHONE REDACTED]. Property Owner: Contact Name & Number: Contact Mailing Address: Property Street Address (if existing): Subdivision: lot: Jurisdiction: What are your permit plans? Type of water and sewer: If other explain: What structures are on this property? I confirm that these statements are true: List Zoning Designation Unincorporated Area of Liberty County City of Walthourville City of Flemington___________City of Midway of Riceboro Town of Allenhurst City of Grumbranch City of Hinesville Setbacks: Front Rear: Side: Side Street: Mobile Home Requirement: Size: Skirting Type: Comments: Approved; meets Zoning Standards Disapproved, does not meet Zoning Standards LCPC staff: Date: Floodplain Manager Use Only Flood Zone: Elevation FEMA Map Date: FIRM Map & Panel Jeff Ricketson, AICP Executive Director Liberty Consolidated Planning Commission 100 Main Street, Suite 7520 Hinesville, Georgia 31313 Phone: [PHONE REDACTED] Fax:1-[PHONE REDACTED] Jurisdiction H City of Hinesville LC Unincorporated Liberty County M Midway W Walthourville A Allenhurst G Gumbranch R Riceboro F Flemington