Building Construction Services
18400 Murdock Circle, Port Charlotte, FL 33948
Phone: (941) 743-1201 FAX: (941)743-1213
Zoning: (941) 743-1964
www.CharlotteCountyFL.com
"To exceed expectations in the delivery of public services"
For Office Use Only
Permit Number
20
Application Date
CSR
Green Building Program Enrollment Form
(This form MUST be submitted with EACH project)
ALL DOCUMENTS LISTED BELOW MUST BE SUBMITTED WITH COMPLETED ENROLLMENT FORM.
Completed checklist form from rating/certifying program
CERTIFIED/RATING PROGRAMS ACCEPTED BY CHARLOTTE COUNTY'S GREEN BUILDING PROGRAM:
LEED (Leadership in Energy and Environmental Design)
FGBC (Florida Green Building Coalition
NAHB Green Building Program (National Association of Home Builders)
GBI (Green Globes Design)
Proof of project registration with an approved rating/certifying program.
PROJECT TYPE:
Single Family Multi-Family Commercial
Type:
CERTIFYING/RATING PROGRAM
LEED FGBC NAHB GBI
EXPECTED SCORE/POINTS: EXPECTED LEVEL OF CERTIFICATION:
Project Name:
Owner Name:
Contractor/Applicant Name:
Project Address:
Total Square Footage:
Sq. Ft.
Total area under Air Conditioning
Sq. Ft.
Total area NOT under Air Conditioning
Sq. Ft.
Certifying Agent or Contact Person:
Address: Phone Number:
Street City/Town State
Signature:
Street City/Town State
FOR OFFICE USE ONLY Pre-Application Meeting Attendees
Building Department:
Date:
Growth Management: Date:
Printed Name:
Sworn to (or affirmed) and subscribed before me this
day of 20 by
Personal Known OR Produced Identification
Type of Identification
Printed Notary Name: Notary Signature
Commission Number:
Notary Stamp
