Application for Pool Permit

"*" indicates required fields

Applicant to Complete All Items in Section I, II, III, and IV

Application Type*

Homeowner

Contractor

I. PROJECT INFORMATION

Site Address*

City*

Municipality*

Property Tax Number / Parcel ID*

Zoning District*

Flood Zone*

II. IDENTIFICATION

A. OWNER - MAILING ADDRESS

Owner Email*

Owner Name*

Owner Mailing Address*

Owner City*

Owner State*

Owner ZIP Code*

Owner Telephone Number*

B. CONTRACTOR

Contractor Email*

Contractor Name*

Contractor Address*

Contractor ZIP Code*

Contractor City*

Contractor Telephone Number*

Contractor State*

Builders License Number*

License Expiration Date*

III. PLAN REVIEW

Type of Pool*

Above Ground

In Ground

Soft Side

Pools with less than 48" sidewalls require a separate barricade or fence.

Pool Size (Length x Width)*

Sidewall height of above ground pool (inches)*

Description of ladder or barrier*

Deck*

Yes

Decks require a separate Building Permit with detailed blueprints and gate/barrier information.

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IV. SIGNATURE

SIGNITURE OF HOMEOWNER
A. SIGNITURE		B. DATE
C. PRINTED
New pools less than 48” above the ground may NOT be used until an approved fencing / barrier is in place. A final inspection must be done to ensure all codes and compliances are correct and a written notice of final approval is issued. Any completed application shall be granted, in whole or in part, or denied within ten (15) business days, except in case of unusually complicated building or structure, action shall be taken within fifteen (30) days. The term completed application shall mean an application which has/had all required reviews and approvals, prior to issuance of a permit by the Building Codes Official (BCO).
The following is completed by the Codes Department:
Building Permit Number:	Building Codes Official Signature:
Issue Date:
Permit Fee:
APPROVED ___	DENIED ___
REQUIREMENTS: > A Building Permit Address card must be posted and visible from the street before work begins or violations will be applied. > An Application of Zoning Approval must be submitted and approved before a Swimming Pool Permit will be issued. > The Application must be submitted with a site plan sketch showing lot lines, location of pool and barricade. > An Electrical Permit Application must be submitted by a licensed electrical contractor or homeowner. > Fencing for pools with less than 48” high sidewalls is required to enclose the entire pool area with a minimum four (4) foot high fence with a self-closing & self-latching gate. Fencing must be in place before the pool is filled with water. > A new deck surrounding or connected to a pool requires a separate building permit and detailed blueprint drawings. > Contractor(s) must attach or submit to the Building Codes Official a copy of their Certificate of Insurance. Acknowledgement Regarding Swimming Pool Installation The Building Codes Official requires this acknowledgement form to be signed by both the owner of the property where a swimming pool is proposed to be installed as well as the contractor who will be installing the swimming pool. A building permit must be issued for the installation of the swimming pool by the Codes Officer before the pool may be installed. The commencement of installation, or the installation of a swimming pool without first obtaining a permit from Codes constitutes a violation of specific codes and ordinances. The Codes Inspector must be notified before filling the pool with any water. Filling or utilizing the swimming pool before Codes has completed both its final inspection and approval for the swimming pool may constitute a criminal misdemeanor violation of specific codes/ordinances and can be potentially dangerous. A Certificate of Occupancy which is considered to be the final approval by the Codes Officer, will not be issued until the swimming pool meets all code requirements and a final inspection has occurred. Should any of these violations occur, the Codes Officer will not hesitate to take appropriate legal action, including criminal prosecution. The below signed have fully read this acknowledgment form, understand its terms and agree to abide by same:
Property Owner	Contractor
Name (signature)	Name (signature)
Name (printed)	Name (printed)
Date	Date
Address	Address

Section IV will need to be signed and sent back. It will be attached via email to do so.