Community Development Department
Building Construction Division
18400 Murdock Circle | Port Charlotte FL 33948
Building Phone: 941.743.1201 | Building Fax: 941.743.1213
Zoning Phone: 941.743.1964 Zoning Fax: 941.743.1598
BuildingSvcs@CharlotteCountyFL.gov
www.CharlotteCountyFL.gov
”To exceed expectations in the delivery of public services”
A recorded Notice of Commencement is required in the Permitting Office prior to the first inspection.
Application Date
Permit Number
2
For Office Use Only
0 0
CSR
Jan. 2007 mag
AFFIDAVIT
PHASED PERMIT APPROVAL (SPECIAL FOUNDATION) - TO BE USED FOR COMMERCIAL PROJECTS ONLY
day of
Signature of Owner/Agent/Contractor
Sworn to (or affirmed) and subscribed before me this 20 by
Type of Identification
Notary Name (Printed)
Commission NumberNotary Signature
Personally Known
OR Produced Identification
Printed Name of Owner/Agent/ Contractor
Owners Name
Subdivision
Street Name
Unit #
Tax Folio # Lot Block
Street Number
Street Type
Contractors Name
Owner(s)
Owner(s) Agent
Owner(s) Contractor
Contractors Phone #
Contractors Fax #
Contractors License #
Person making affidavit
105.13 Phased permit approval.
After submittal of the appropriate construction documents, the building official is authorized to issue a permit for
the construction of foundations or any other part of a building or structure before the construction documents for
the whole building or structure have been submitted. The holder of such permit for the foundation or other parts
of a building or structure shall proceed at the holder’s own risk with the building operation and without assurance
that a permit for the entire structure will be granted. Corrections may be required to meet the requirements of the
technical codes.
I, the undersigned, have read the above statement and agree to abide by it.
Reviewed by Building Official or Designee:
Date:
