Fillable Form 20: Community Development Department Simplified Solar (PV) (Charlotte County BCC)

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Form 20: Community Development Department Simplified Solar (PV) (Charlotte County BCC)

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The Form 20: Community Development Department Simplified Solar (PV) (Charlotte County BCC) form is 8 pages long and contains:

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  • 33 check-boxes
  • 127 other fields

Country of origin: US
File type: PDF

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BROWSE CHARLOTTE COUNTY BCC (FL) FORMS

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Community Development Department
Building Construction Services
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
BCS@CharlotteCountyFL.gov
www.CharlotteCountyFL.gov
"To exceed expectations in the delivery of public services"
Application Date
Permit Number
For Office Use Only
20
CSR Initials
Applicants wishing to receive a permit under the simplified solar application process must first verify that the proposed
project is eligible via the checklist and must supply all the information requested in the form.
Permit Application and Required Documents (2 sets minimum)
1. APPLICATION: Provide completed Solar Permit Application. Proof of ownership will be required if the ownership
on Property Appraiser web-site differs from the permit application.
A certified copy of recorded Notice of Commencement (NOC) is required for all jobs over $2,500.
2. SITE PLAN/ROOF PLAN: Provide a site plan/Roof plan showing the location of the solar system components and other
equipment and structures on the site. Include location of the electrical service and point of interconnection.
3. ELECTRICAL DIAGRAM: Provide an electrical diagram showing PV array configuration, wiring method, over-current
protection, inverter, disconnects, required signs and AC connection to the building.
4. MANUFACTURER SPECIFICATION SHEETS: Provide manufacturer specification sheets for all system components and/or
signed and sealed engineering.
5. WINDLOAD CALCULATIONS AND WEIGHT LIMIT: For rooftops, please provide the wind uplift zone (per ASCE-7) of the
roof where the solar system is to be installed. And for on the ground mounting systems, provide the designed wind uplift
pressures required for the location and height of the system. For rooftops, the system will have a distributed weight of less than
5 pounds per square foot and less than 45 pounds per attachment point to roof. Provide documentation that the proposed
system is able to meet calculated load that are signed and sealed by a design professional. Attachment details by manufacturer
or signed and sealed engineering is required.
6. ROOF STRUCTURE AFFIDAVIT: Provide roof structure affidavit certifying integrity of the roof structural members and
proposed additional load.
Simplified Solar (PV) Permit Checklist and Permit Application
Page 1 of 3
o CONTRACTOR REQUIREMENTS - Permit must be obtained by a licensed Contractor or Owner/Builder.
The contractor performing the solar installation holds the necessary licenses and permits to perform this work in this
jurisdiction, actively registered with the County, with up to date license and insurance information. If Owner/Builder,
must personally appear to sign the Owner-Builder Affidavit.
o MAXIMUM CAPACITY - The capacity of the proposed PV project is less than 10KW.
o LOCATION - The proposed PV project will be a rooftop system or on the ground.
o PROJECT CODE COMPLIANCE - The structure that the proposed project will be mounted on is code-compliant and the
proposed solar installation is compliant with all relevant fire and electrical codes, including setback requirements.
o WEIGHT LIMIT - The system will have a distributed weight of less than 5 pounds per square foot and less than 45 pounds
per attachment point to roof.
o MODULE TILT - To mitigate wind loads, the proposed system will be mounted flush against the roof surface or tilted with
no more than an 18 inch gap between the module frame and the roof surface.
o ELECTRICAL CONNECTION - The proposed solar installation is composed of 4 series of strings or less.
o HISTORICAL/ARCHITECTURAL REVIEW - The proposed solar installation is not located on a building subject to historic
or architectural review.
o PROJECT CODE COMPLIANCE - The structure that the proposed project will be mounted on is code-compliant and the
proposed solar installation is compliant with all relevant fire and electrical codes, including setback requirements.
12/2020 jg
Community Development Department
Building Construction Services
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
BCS@CharlotteCountyFL.gov
www.CharlotteCountyFL.gov
"To exceed expectations in the delivery of public services"
Application Date
Permit Number
For Office Use Only
20
CSR Initials
Simplified Solar (PV) Permit Checklist and Permit Applicaton
Page 2 of 3
Number & Street
Type:(St., Dr., Pkwy., Blvd., etc.)
Description of work to be done
Address:
This building will be used as
Construction Cost (excluding lot but including labor):
City State Zip
Zoning Class:
Job Site Details
Unit #:
Parcel ID:
Building #:
Owner Information
Name:
Address:
Phone No. :
Email:
Number & Street
Type:(St., Dr., Pkwy., Blvd., etc.) City State Zip
Contractor Information
Name:
Contractor's License No.:
Address:
Phone No. :
Email:
Fax No.:
Number & Street
Type:(St., Dr., Pkwy., Blvd., etc.) City State Zip Code
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.
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. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE FIRST INSPECTION.
IF YOU INTENT TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR 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.
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
Contractor/Owner Builder Signature:
(Owner's signature only if owner is acting as contractor. **An Owner-Builder Disclosure Statement will be required)
NOTICE: Permit is void if Construction is not started within six months or does not receive an approved inspection within six months from date of issue. An approved
inspection will extend the permit for an additional six months. Starting work prior to issuance of a permit may result in a penalty fee of up to four times the permit fee.
Print Name:
Date:
11/2020 jg
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Community Development Department
Building Construction Services
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
BCS@CharlotteCountyFL.gov
www.CharlotteCountyFL.gov
"To exceed expectations in the delivery of public services"
Application Date
Permit Number
For Office Use Only
20
CSR Initials
Simplified Solar Permit Checklist and Permit Application
page 3 of 3
ZONING: Provide a site plan showing the location of the solar system components and other equipment on structure (including, but
not limited to, the solar array with orientation and tilt noted, electrical service connection, utility meter, and inverter).
Solar System Module(s) Quantity
12/2017 jg
Model
Manufacturer:
Solar System Inverter(s) Quantity
Model
Manufacturer:
Model
Mounting System Manufacturer:
Is the mounting system and engineered product designed to mount solar panels?
Yes.- Provide manufacturer's specifications No.- Provide structural attachment details, signed and seal by design professional
Total Weight of Module and Rails (lbs)
Number of Attachment Points
Weight per attachment point (lbs)
Maximum Spacing Between Attachment Points (inches)
Module Weight per sq. ft. (lbs)
Total Surface Areas of Modules (sq. ft.)
ELECTRICAL DIAGRAM: Provide an electrical diagram showing PV array configuration, wiring system, overcurrent protection, inverter,
disconnects, required signs, and connection to building.
MANUFACTURER SPEC SHEETS: Provide manufacturer's specification sheets for all system components.
WIND LOAD CALCULATIONS: Provide wind uplift zones (per ASCE-7) of the roof where the solar system is to be installed and the wind
uplift pressure for that zone. Provide documentation that the proposed system is able to meet calculated load. Attachment details by
manufacturer specs or signed and sealed by a registered design professional are required for solar panels.
Information for installer prior to inspection:
1. Roof attachments are considered to be components of a PV system and are within the scope of the EC, CV, RF or CW
Contractor.
2. Installer may install new or replace existing control attached to a cord-and-plug connected solar controller. For a Photovoltaic
pump controller, the CV or CW contractor may install new or replace existing direct current power wiring between photovoltaic
panel and pump motor.
3. DC circuit wiring from the collector to the inverter may be installed by a CV or EC contractor.
4. AC circuit wiring can only be installed by licensed EC contractor.
Required Inspections:
1. Electric Final - Schedule once all electrical work is complete.
2. Solar Final - Schedule once all plumbing work and installation of solar system is complete.
Community Development Department
Building Construction Services
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
BCS@CharlotteCountyFL.gov
www.CharlotteCountyFL.gov
"To exceed expectations in the delivery of public services"
Application Date
Permit Number
For Office Use Only
20
CSR Initials
OWNER-BUILDER DISCLOSURE STATEMENT
(Per Florida Statute F-S 489.103.7.b)
PLEASE READ THE STATEMENT BELOW CAREFULLY. FAILURE TO COMPLY WITH THIS STATEMENT SHALL RESULT IN
YOUR PERMIT BEING REVOKED BY THE BUILDING OFFICIAL AND MAY RESULT IN FINES UP TO $10,000.
I understand that State law requires construction to be done by licensed contractor and have applied for an owner/builder
permit under an exemption to that law. The exemption specifies that I, as the owner of the property listed, may act as my
own contractor with certain restrictions even though I do not have a license.
I understand that, as an owner-builder, I am the responsible party of record on a permit. I understand that I may protect
myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my
own name. I also understand that a contractor is required by law to be licensed in Florida and to list his or her license
numbers on permits and contracts.
I understand that I may build or improve a one-family or two-family residence or a farm outbuilding. I may also build or
improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my own use or
occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or
substantially improved myself is sold or leased within 1 year after the construction is complete, the law will presume that I
built or substantially improved it for sale or lease, which violates the exemption.
I understand that, as the owner-builder, I must provide direct, onsite supervision of the construction.
I understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building
or residence. It is my responsibility to ensure that the persons whom I employ have the licenses required by law and by
county or municipal ordinance.
Initials
Initials
Initials
Initials
I understand that building permits are not required to be signed by a property owner unless he or she is responsible for the
construction and is not hiring a licensed contractor to assume responsibility.
Initials
I understand that it is a frequent practice of unlicensed persons to have the property owner obtain an owner-builder permit
that erroneously implies that the property owner is providing his or her own labor and materials. I, as an owner-builder, may
be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or her
employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am
willfully acting as an owner-builder and am aware of the limits of my insurance coverage for injuries to workers on my
property.
Initials
(Page 1 of 2)
Initials
I understand that I may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to
perform the work being done. Any person working on my building who is not licensed must work under my direct
supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal
income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers'
compensation for the employee. I understand that my failure to follow these laws may subject me to serious financial risk.
I understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service,
the United States Small Business Administration, the Florida Department of Financial Services, and the Florida Department of
Revenue. I also understand that I may contact the Florida Construction Industry Licensing Board at 850.487.1395 or www.
myfloridalicense.com/dbpr/pro/cilb/index.html for more information about licensed contractors.
I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable
laws and requirements that govern owner-builders as well as employers. I also understand that the construction must comply
with all applicable laws, ordinances, building codes, and zoning regulations.
Initials
05/2011
A recorded Notice of Commencement is required in the Permitting Office prior to the first inspection.
Community Development Department
Building Construction Services
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
BCS@CharlotteCountyFL.gov
www.CharlotteCountyFL.gov
"To exceed expectations in the delivery of public services"
Application Date
Permit Number
For Office Use Only
20
CSR Initials
Plumbing
Roofing
Solar Systems
Spa /Swimming Pools
Insulation
Carpentry
Drywall
Cement, Concrete, Masonary
Ceramic/Marble/Terrazzo
Plaster/Stucco/Spraycrete
Painting and Wallcovering
Other (Detail Below)
Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who
does not have a license, the Construction Industry Licensing Board and Department of Business and
Professional Regulation may be unable to assist you with any financial loss that you sustain as a result of a
complaint. Your only remedy against an unlicensed contractor may be in civil court. It is also important for you to
understand that, if an unlicensed contractor or employee of an individual or firm is injured while working on your
property, you may be held liable for damages. If you obtain an owner-builder permit and wish to hire a licensed
contractor, you will be responsible for verifying whether the contractor is properly licensed and the status of the
contractor's workers' compensation coverage.
I am aware of, and consent to, an owner-builder building permit applied for in my name and understand that I am the party
legally and financially responsible for the proposed construction activity at the following address:
Number and Street City Zipcode
I agree to notify Charlotte County Community Development, Building Division, immediately of any additions, deletions, or
changes to any of the information that I have provided on this disclosure.
OWNER-BUILDER DISCLOSURE STATEMENT
(Per Florida Statute F.S. 489.103.7.b)
A/C & Heat
Electric
Aluminum
Initials
Initials
CHECK THOSE CONTRACTOR CATEGORIES BELOW WHICH WILL BE DONE BY THE OWNER
Gas Piping
Fence
Landscape Irrigation
(Page 2 of 2)
The undersigned applicant agrees to comply with the provisions as outlined herein and with all Federal, State, and Local codes. It is further understood
that a violation of any applicable code may result in a stop work order being issued and a cessation of all work until such violation has been remedied.
The undersigned applicant for this building permit does hereby certify that Applicant 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 Workman's Compensation Act; Social Security Act; Florida
Child Labor Laws; Contractor's/Employer's Liability Insurance Requirements; and all other applicable Federal, State, and Local laws, a violation of which
may invoke penalties.
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
NOTICE: All subcontractors must have a Charlotte County Certificate of Competency. Permit is void if Construction is not started within
six months or does not receive an approved inspection within six months from date of issue. An approved inspection will extend the
permit for an additional six months. Starting work prior to issuance of a permit may result in a penalty fee of up to four times the permit
fee.
Owner Builder Signature:
Date:
10/2020 jg
A recorded Notice of Commencement is required in the Permitting Office prior to the first inspection.
Printed name:
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NOTICE OF COMMENCEMENT
State of Florida Permit Number: _____________________________________
County of Charlotte Tax Folio or Parcel Number: ___________________________________
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement.
1. Description of Property (a complete legal description or parcel number; and a complete street address with city/state/zip code, if available):
2. General Description of Improvement: ___________________________________________________________________________________
3. Owner Information:
a. Name: __________________________________________________________________________________________________________
b. Address: _____________________________________________ City/State/Zip Code: ________________________________________
c. Interest in Property: ______________________________________________________________________________________________
d. Name and Address of Fee Simple Title Holder (if different from the Owner listed above): ______________________________________
_________________________________________________________________________________________________________________
4. Contractor Information:
a. Name: _________________________________________________________________ Phone Number: ___________________________
b. Address: ______________________________________________ City/State/Zip Code: _______________________________________
5. Surety Information:
a. Name: _________________________________________________________________ Phone Number: ___________________________
b. Address: ______________________________________________ City/State/Zip Code: _______________________________________
c. Bond Amount: $ __________________________________________________________________________________________________
6. Lender Information:
a. Name: __________________________________________________________ Phone Number: __________________________________
b. Address: ______________________________________________ City/State/Zip Code: _______________________________________
7. Persons within the State of Florida Designated by Owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)7., Florida Statutes:
Name/Address/Phone Number: ________________________________________________________________________________________
8. In addition to himself/herself, Owner designates the following to receive a copy of Lienor's Notice as provided in Section 713.13(1)
(b) Florida Statutes:
Name/Address/Phone Number: ________________________________________________________________________________________
9. Expiration Date of Notice of Commencement (the expiration date is one year from the recording date unless a different date is specified here):
_____________________________________________________________________________________________________________________
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalties of perjury, I declare that I have read the foregoing and that the facts in it are true to the best of my knowledge and
belief (Section 92.525, Florida Statutes).
Signature of Owner or Lessee, or Owner's or Lessee's Authorized Printed Name
Officer/Director/Partner/Manager
Company Name and Title
State of _________________________, County of __________________________ Sworn to (or affirmed) and subscribed before me, by means of
physical presence or online notarization, this ______ day of _______________, 20 _______ by_____________________________________,
(name of person making statement)
personally known, or produced identification with type of identification ________________________________________________.
Signature of Notary Public Printed or Stamped Commissioned Name of Notary Public
Community Development Department
Building Construction Services
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
BCS@CharlotteCountyFL.gov
www.CharlotteCountyFL.gov
"To exceed expectations in the delivery of public services"
Application Date
Permit Number
For Office Use Only
20
CSR Initials
A recorded Notice of Commencement is required in the Permitting Office prior to the first inspection.
10/2020 jg
Subcontractor Worksheet
This form is to be submitted at the time of Permit Application and must be completed with all information.
Changes in subcontractors are allowed by submitting a Change in Subcontractor form.
Trade
Subcontractor Company Name
Subcontractor
Telephone No.
Subcontractor
License No.
Permit Application Number
Contractor Name
Contractor's Certification or Registration No.
A/C and Heating
Electric
Plumbing
Roofing
Unit #:
Building #:
Address:
Date
Gas
Other:
Contractor Signature:
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Community Development Department
Building Construction Services
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
BCS@CharlotteCountyFL.gov
www.CharlotteCountyFL.gov
"To exceed expectations in the delivery of public services"
Application Date
Permit Number
For Office Use Only
20
CSR Initials
Solar Roof Structure Affidavit
To: Charlotte County Community Development
This certifies that the roof structure at _____________________________________________________________
is premanufactured, in good structural shape, and all panels will be attached as prescribed in the FSEC-IN-24-06
and that the proposed completed product does not exceed five (5) pounds per square foot and will be installed
around and/or into the roof structural members.
Under the penalties of perjury, I declare that I have read the foregoing Roof Structure Affidavit and that
the facts stated in it are true.
___________________________ _________________________ ________________
Name of Owner/Authorized Agent Signature Date
A recorded Notice Of Commencement is required in the Permitting Office prior to first inspection.
12/2020 jg
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Form 20: Community Development Department Simplified Solar (PV) (Charlotte County BCC)

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Completed 21 January 2021

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