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Liberty County Building and Licensing Department Building Application In order to obtain a permit for Repair, Renovation, or Alteration you must have the following information: Owner/Applicant: Property Address: Mailing Address: Telephone Contact Name & Telephone Contractor: General: Electrician: Plumber: HVAC: Map & Parcel Lot Zoning: Flood Zone: Description of work to be done: Repair or Replace Siding on Exterior of Structure Repair or Replace Roof From: To: From: To: Convert Garage Into Heated Space Width: Depth: Square Feet: Interior Walls: Existing: To: Other: FOR OFFICE USE ONLY Director Approval: Date: Inspector Approval: Date: Zoning Approval Letter Contract Showing Cost of Job Environmental Health Departments Approval Letter Plot Plan Two complete sets of plans, including a footing and wall detail Copy of State and Business License for Contractor, Electrician, Plumber, and HVAC Contractors Copy of Concrete Contractors Business License Please attach the following: Class of Work: Repair Renovation Alteration ---PAGE BREAK--- List of Subtractors to work on this job General Contractor: Contact Electrical Contractor: Contact Plumbing Contractor: Contact Heating & Air Contractor: Contact Framer: Concrete Contractor: Insulation Contractor: ---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