HERNANDO COUNTY
COMMERCIAL SIGN APPLICATION
CONTACT PERSONS NAME
Please Provide Your FAX #
e-mail address
Key # Date ____________________
Type of Sign to be Constructed: ______________________________________________________
Valuation Of Work To Be Done: $ ______________________
Legal Description: Lot _____ Block Subdivision Unit _______
Address Of Job Site: No. Street ___________________________________________
Project Name ______________________ Shopping Center Name _________________________
Directions To Job Site: ___________________________________________________________
_________________________________________________________________________________
______________________________________________________________________________
Property Owner: ____________________________________ Phone: _______________________
Address _____________________________ City _________________ State _______ Zip ______
Interest In Property: ________________________________________________________________
Name Of Fee Simple Titleholder: ___________________________________________________
Address ____________________________ City ________________ State _____ Zip__________
SIGN CONTRACTOR ________________________________________ Ph#________________
Address ________________________________ City State Zip
License Number __________________________ (State Certification or Hernando County # Only)
ELECTRICAL CONTRACTOR _______________________________Ph#_________________
License Number ___________________________(State Certification or Hernando County # Only)
UL # __________________________________________
Application is hereby made to obtain a permit to do the work and
installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be
performed to meet the standards of all laws regulating construction in this
jurisdiction. I understand that a permit must be secured for ELECTRICAL
WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS,
HEATERS, TANKS, and AIR CONDITIONERS, ETC.
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