Community Development Department
Building Construction 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
BuildingSvcs@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
Tax Folio # Lot
A recorded Notice of Commencement is required in the Permitting Office prior to the first inspection.
03/22/18 JG
AFFIDAVIT - FIRE HYDRANTS
I, the undersigned, being the legal owner of the above described property, investigated and
determined the following:
1. Public Water Service:
2. A Fire Hydrant:
Hydrant distances are as follows:
1) Mobile Homes, Single Family, Duplexes and Triplexes - Maximum 500' from building
2) Commercial, Apartments and other high value - Maximum 300' from building
3) Heavy Industrial and Manufacturing - Maximum 300' from building
If public water is available and a fire hydrant is not within the prescribed distance as stated above,
pleasecontact the appropriate utility for a fire hydrant.
Owner's Name:
Block
Subdivision
Is Available
Is NOT Available
Is Within the Prescribed Distance
Is NOT Within the Prescribed Distance
Signature of Notary
as identification and who did/did not take an oath.
Printed Name of Notary
Commission Number
The foregoing instrument was acknowledged before me this
day of
20
who is personally known to me or who has produced
Seal
Signature of Owner/Agent/Contractor Printed Name of Owner/Agent/Contractor
State of Florida, County of
by
Number & Street Name
Unit #:
Building #:
Address:
