Revision 10-21-10.doc
HERNANDO COUNTY
COMMERCIAL/RESIDENTIAL REVISION FORM
Date _________________ Application/Permit Number _____________________
Project Name: ______________________________ Address: _______________________________
Name of Applicant: ___________________________________
Phone number of person to contact: _____________________________________
Fax number # ______________________E-mail address _____________________________
Are you revising the original plan or adding square footage:____________________________
Revision requested (please be explicit)
( ) Stamp Plans ( ) Correction ADDITIONAL FEES MAY BE DUE
( ) Revise Site Plan ( ) Revised Energy Calcs FOR THESE SERVICES AND MUST
( ) Revise Building Plans ( ) Other, Explain BE PAID PRIOR TO NEXT INSPECTION
To avoid delays, we must have detailed explanation of revision completed by applicant:
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I understand that the submittal of this request is not permission to proceed with any work not previously
permitted.
SIGNATURE OF APPLICANT: _____________________________
***FOR OFFICE USE ONLY***
Additional Fees Due:
Zoning Fee $_______ Electrical Fee $______ Admin Fire Fee $________
Build Fee $_______ Mech/AC Fee $______ HCFD $________ SHFD $______
Plumb Fee $_______ Plan Rev Fee $______ DPR Fee $_______Radon Fee $ _____
Total Due $_________________ (DPR & Radon- 1.5% ea on Building related fees only)
Permit Representative .............................................................Initials _____ Date________
Completed by Zoning ...............................................................Initials _____ Date ________
Completed By Plans Examiner...................................................Initials______ Date ________
Receipt Number: ________________________________ Date Paid: ______________
Additional Notes:
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