A recorded Notice of Commencement is required in the Permitting Office prior to the first inspection.
Community Development Department
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
www.CharlotteCountyFL.gov
”To exceed expectations in the delivery of public services”
Application for Construction Permit
(cont.)
Name of Fee Simple Titleholder (if not owner)
Street City State
Zip
Phone No
Bonding Company Name
Street
State
Zip
Architect/Engineer Name
Street
State
Zip
Mortgage Lender
Street
State
Zip
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 regulating 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 provisions 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.
Violation will invoke severe penelties.
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 YOU 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.
OWNERS/AGENT SIGNATURE CONTRACTORS SIGNATURE
State of Florida, County of
State of Florida, County of
The foregoing instrument was acknowledged before me this
The foregoing instrument was acknowledged before me this
who is personally known to me or who
who is personally known to me or who
has produced
who did/did not take an oath.
has produced
who did/did not take an oath.
Print Form
For Office Use Only
Permit Number
2 0
Application Date
CSR
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signature
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