Community Development Department
Zoning Division
18400 Murdock Circle | Port Charlotte FL 33948
Building Phone: 941.743.1201 | Building Fax: 941.764.4907
Zoning Phone: 941.743.1964 | Zoning Fax: 941.743.1598
BuildingConstruction@CharlotteCountyFL.gov
CharlotteCountyFL.gov
Application Date
Permit Number
For Office Use Only
20
CSR Initials
APPLICATION FOR CHANGE OF OCCUPANCY (Page 1 of 2)
Number & Street
Type:(St., Dr., Pkwy., Blvd., etc.)
Address:
Number of Units in the Building:
Area of the Unit (sq. feet):
Number of parking spaces for this unit:
Unit Number City State Zip
Zoning Classification of the Property:
Return Completed Form to the Zoning Division
11/2020 jg
Name of New Tenant (Person's Name):
Address:
Phone No :
Email: Fax No:
Number & Street
Type:(St., Dr., Pkwy., Blvd., etc.) City State Zip
If yes, what is the area (sq feet):
Note: A Change of Occupancy may require the payment of impact fees due to a property use change.
The appropriate fee, if applicable, shall be paid at time of permit pick up. Please allow 5 to 10 business days for processing.
Code Z-COO (Office use only)
Zoning Tech. Signature:
Permitted Use:
Permit Number:
Date Received :
Does the Building have 6" Street Numbers and Unit Numbers?:
Yes No
Number of accessible (ADA) parking spaces: Number of parking spaces required:
Please Attach Site Plan of Building and Parking Lot, Building Sketch/Floor Plan, and Signed Lease or Owner Consent Letter
Is Property on Public Sewer?:
Yes No
If not on Public Sewer, must provide Health Department approval
Any outdoor seating areas?
NoYes
Outdoor Seating Areas generate Impact Fees
Legal Description:
Subdivision:
Lot(s)
Block(s)
Unit/Sub-Section:
Property Owner(s) of Record:
Address:
Phone No:
Email: Fax No:
Number & Street
Type:(St., Dr., Pkwy., Blvd., etc.) City State Zip
Required Forms & Documents:
·Application (1 original signed): 2 pages
·Building Floor Plan or Sketch (2 copies or sets) Existing AND Proposed Floor Plans illustrating building layout with dimensions and preferably to scale,
entrances/exits and door widths for exterior doors and restrooms, location of electrical outlets. Label on all rooms/areas within the building with the
proposed use. Floor plans may be hand drawn, but must accurately depict the existing and proposed use of the building/unit. It is important that any
proposed changes on the proposed floor plan, including structural, plumbing, electrical and mechanical (AC) are shown. Please provide information on
building permits submitted for those changes.
·Parking Lot Site Plan or Sketch (2 copies or sets)
·Signed Lease or Property Owner Consent Letter (2 copies or sets)
Please read the Commercial Business Guide for Change of Occupancy Process
Community Development Department
Zoning Division
18400 Murdock Circle | Port Charlotte FL 33948
Building Phone: 941.743.1201 | Building Fax: 941.764.4907
Zoning Phone: 941.743.1964 | Zoning Fax: 941.743.1598
BuildingConstruction@CharlotteCountyFL.gov
CharlotteCountyFL.gov
Application Date
Permit Number
For Office Use Only
20
CSR Initials
APPLICATION FOR CHANGE OF OCCUPANCY (Page 2 of 2)
11/2020 jg
Owner's Authorization / Inspection Information: If an applicant is not the property owner, the applicant must submit a notarized
authorization giving the applicant the right to apply for this permit. When requesting an inspection, it is very important that the
inspectors will be able to gain entrance to the premise. An inspector will not go into an open building containing valuables
alone. Approximately three inspectors will arrive on the day you select to perform the following inspections: Electric, Fire and
Zoning. Power will not be released until the building has been approved by each of the above listed inspectors.
Please refer to the Commercial Business Guide.
Affidavit of Applicant
I, the undersigned, being first duly sworn, depose and say that I am the owner, attorney, attorney-in-fact, agent, lessee or
representative of the owner(s) of the majority of the property described and which is the subject matter of the proposed
application; that all answers to the questions in this application, and all sketches, data and other supplementary matters
attached to and made a part of the application are honest and true to the best of my knowledge and belief. I understand this
application must be complete and accurate before the application may be considered, and that if I am not the owner of the
property, I have a notarized authorization letter from the owner(s)
Under penalties of perjury I declare that I have read the foregoing document and that facts stated are true, correct and in compliance
with the applicable regulations. F.S.92.525
Applicant's Signature:
Date:
Applicant's Printed Name:
Name of Proposed Business :
Name of Previous Business:
Previous Use:
Proposed Use :
Return Completed Form to the Zoning Division
click to sign
signature
click to edit