SUBCONTRACTOR WORKSHEET – ZONING ONLY
“Delivering Exceptional Service”
PLANNING & ZONING DIVISION
Zoning Section
18400 Murdock Circle
Port Charlotte FL 33948
Phone: 941.743.1964
Fax: 941.764.1598
PlanningZoning@CharlotteCountyFL.gov
www.CharlotteCountyFL.gov
Received Date: __________________
By: ____________________________
Date Entered: ___________________
Subcontractor Worksheet Zoning (Created March 2020: DJ) Page 1 of 1
Please submit this form either at time of permit application or no later than at time of permit issuance with all information
provided. For a change in subcontractor, please submit a Change of Subcontractor request form.
Permit Application #: _________________________________
Job Site Address: _______________________________________________ Bldg. #: ___________ Unit/Ste. #: ___________
Contractor Name: ___________________________________ Contractor License or Certification #: ____________________
SUBCONTRACTOR
COMPANY NAME
SUBCONTRACTOR PHONE
NUMBER
SUBCONTRACTOR LICENSE
NUMBER
Contractor Signature; _______________________________________________ Date: ______________________________