Building Construction Services
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"
Permit Number
For Office Use Only
Application Date
20
CSR Initials
REQUIRED ADDITIONAL SUBMITTAL DOCUMENTS (per FSS 533.8425)
1. Certification of Code Compliance from Florida registered professional engineer or architect based on the current
adopted edition of the Florida Building Code.
a. The certification shall be based on "testing", "comparative analysis" or "rational analysis" or any combination thereof
developed and signed and sealed by the design professional on his/her official letterhead.
b. The certification shall clearly specify the specific job site address/location.
c. The certification shall clearly address the fabrication and installation of the product.
2. Test reports and/or structural calculations used to substantiate code compliance.
3. Professional drawings and/or engineered structural details.
a. Job site plan and or building layout showing proposed installation locations.
b. Professionally designed product fabrication details and specifications.
c. Professional designed product installation details and specifications.
4. If there is a designer of record, he/she must provide a similar certification letter stating that they have reviewed the
engineering and calculations and the proposed installation will meet their design requirements, and is in compliance with
the Florida Building Code.
5. If applicable, provide copies of any Florida State product approvals or Miami-Dade NOA's used as supporting evidence of
Code Compliance.
FEES shall be assessed in compliance with the current construction permit fee schedule
Applicant's signature: _______________________________________
APPLICATION FOR PROJECT SPECIFIC PRODUCT APPROVAL
Contact fax number
Name (Company/Contractor)
12/18/15jg
Date:
Contact Person
Product description
Job site address
Contact phone number
Contact address
Street
City
State Zip
Contact e-mail address
ZipState
City
Street
Windzone and Exposure of job site
"Components and cladding building envelope zone" of proposed installation
Design windload pressures for product location and size
Maximum windload capacity of proposed product
Print name
