Charlotte County Application for Sign Permit (Revised December 2017) Page 1 of 4
Charlotte County
Community Development Department
18400 Murdock Circle
Port Charlotte FL 33948-1074
Phone: 941.743.1201 | Fax: 941.764.4907
BuildingConstruction@CharlotteCountyFL.gov
PlanningZoning@CharlotteCountyFL.gov
www.CharlotteCountyFL.gov
“To exceed expectations in the delivery of public
services.”
Office Use Only
Permit Application Number:
_______________________
Application Date:
_______________________
Staff Initials: ____________
APPLICATION FOR SIGN PERMIT
(Erect, Alter, Repair or Move)
Business Owner’s Name: _____________________________________ Date: _________________
Address of Sign: ______________________________ City/State/Zip Code: ___________________
Tax Folio (Parcel) ID: ___________________ OR Lot/Block/Subdivision: _____________________
********************************************************************************
SIGN TYPE (please check): Primary Pole Sign Primary Wall Sign
SIGN DESCRIPTION (please check): Marquee Projection Ground Roof
Wall Other _______________________________ Non-illuminated Illuminated
MATERIAL: Face: _________________ Frame: ________________ Support: _________________
Single Face: ________________ Double Face: ________________ Panel Size: ________________
SIZE: Total Gross Face Area of Sign in Square Feet: ___________ FOOTING SIZE: ____________
Description of Lettering on Face: __________________________________________________
HEIGHT: Lower Edge: ____________ Upper Edge: ____________ Zoning District: _____________
TOTAL COST OF PROJECT $ _______________
********************************************************************************
I hereby agree that if this application is approved and a sign permit is issued, I will comply with all
Building Code requirements and Zoning regulations adopted by Charlotte County for signs.
____________________________________ ___________________________________
Sign Contractor’s Company Name License Number
____________________________________ ___________________________________
Qualifier’s Printed Name Phone
____________________________________ ___________________________________
Qualifier’s Signature Email
**Note: A recorded Notice of Commencement may be required in the Permitting Office if project is over $2500**
Charlotte County Application for Sign Permit (Revised December 2017) Page 2 of 4
Sketch of Sign
Site Plan Sketch
PROPERTY OWNER’S CONSENT
I, _________________________________, property owner of _____________________________
Printed Name of Property Owner Address
do hereby give ______________________________ permission for permitted work at this location.
Sign Contractor’s Name
_________________________________________ ___________________________________
Property Owner’s Address City/State/Zip Code Property Owner’s Phone
PROPERTY OWNER & NOTARY SIGNATURES
_________________________________________
Signature of Property Owner
State of ____________________, County of ________________________ Sworn to (or affirmed)
and subscribed before me this _______ day of ________________, 20 _____ by _______________
_________________________________ (name of person making statement), personally known
or produced ______________________________________________________ as identification.
________________________________________ ___________________________________
Signature of Notary Public Printed or Stamped Name of Notary Public
Charlotte County Application for Sign Permit (Revised December 2017) Page 3 of 4
SIGNAGE ALLOTMENT CALCULATIONS
Owner must provide the information below:
1. Total property frontage in Linear Feet: ______________________________________________
2. Total building or unit frontage in Linear Feet: _________________________________________
3. EXISTING SIGNAGE. Please provide number, location and square footage of all existing signs
or advertising devices on the property (square footage = length x width).
a. Sq. ft. ________________ Type: ____________ Location ___________________________
b. Sq. ft. ________________ Type: ____________ Location ___________________________
c. Sq. ft. ________________ Type: ____________ Location ___________________________
d. Sq. ft. ________________ Type: ____________ Location ___________________________
4. PROPOSED SIGNAGE. Please provide the following information for all proposed signs or
advertising devices on the property.
a. Sq. ft. ________________ Type: ____________ Location ___________________________
b. Sq. ft. ________________ Type: ____________ Location ___________________________
c. Sq. ft. ________________ Type: ____________ Location ___________________________
d. Sq. ft. ________________ Type: ____________ Location ___________________________
Please add additional signs on a blank sheet of paper.
Office Use Only:
Site Inspection Shows How Many Signs On-Site __________________________________________
Signage Allotment: ________________________ Total Allotment Used: ______________________
Signage Allotment Leftover: ____________________ Inspected: ____________________________
Charlotte County Application for Sign Permit (Revised December 2017) Page 4 of 4
Application for Construction Permit
Fee Simple Titleholder Name (if not Owner): ________________________________________
Address: ___________________________________ City/State/Zip Code: ____________________
Bonding Company Name: _________________________________________________________
Address: ___________________________________ City/State/Zip Code: ____________________
Architect/Engineer Name: ________________________________________________________
Address: ___________________________________ City/State/Zip Code: ____________________
Mortgage Lender Name: __________________________________________________________
Address: ___________________________________ City/State/Zip Code: ____________________
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 issuance of a permit and that all work will be performed to meet the standards of all laws
regulation construction in this jurisdiction. The undersigned applicant for this permit does hereby certify that he/she has or
will prior to the performance of any work in connection with the authorization granted under this permit comply with the
provision of the Florida Worker’s Compensation Act of Employers Liability Insurance, the Social Security Act, the Florida Child
Labor Laws and all other applicable safety and labor laws of the state. Violations will invoke severe penalties.
Owners Affidavit: I hereby certify that all the foregoing information is accurate and that all work will be done in compliance
with all applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirement of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management districts, state, or federal agencies.
Owner/Agent, Contractor and Notary Signatures
________________________________________________
Owner / Agent (please check) Signature
State of ________________ County of ________________
The foregoing instrument was acknowledged before me this
__________ day of ____________________ 20__________
By _____________________ who is personally known to me
or who has produced ____________________ as
identification and who did/did not take an oath.
________________________________________________
Notary Signature
________________________________________________
Notary’s Printed Name
__________________
Commission Number
_________________________________________________
Contractor Signature
State of ________________ County of ________________
The foregoing instrument was acknowledged before me this
__________ day of ____________________ 20__________
By _____________________ who is personally known to me
or who has produced ____________________ as
identification and who did/did not take an oath.
________________________________________________
Notary Signature
________________________________________________
Notary’s Printed Name
__________________
Commission Number
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