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					COMMERCIAL \ RESIDENTIAL SWIMMING POOL PERMIT PACKET

COMMERCIAL OR RESIDENTIAL SWIMMING POOL CHECKLIST
Completed Permit Application

Plat of property approved by Planning &Development

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Scale drawing (2 copies that are 8 ½ X 11) including: -Actual dimensions of property -Size and location of pool -Approximate setbacks from property line and right-of-way -Location of pool drain & backwash discharge All Easements should be shown on site plan Authorization form/ OR SIGNED COPY OF SALES CONTRACT

Self-Work Affidavit with picture I.D., Residential only (Provided by Clerk)

Approval from Health Department on Septic System

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Swimming Pool Drain Discharge Location Affidavit

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Georgia Energy Code Affidavit

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Temporary Toilet Permit/Exemption required by Health Dept. 770-781-6909 Georgia Erosion & Sediment Control Certificaiton Card (Copy of Card is Required) 706-542-1840

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*****PERMIT CARDS & SITE PLANS ARE REQUIRED TO BE POSTED UNTIL WORK IS COMPLETED******** ****ALL INFORMATION IN PERMIT PACKET NEEDS TO BE COMPLETED****
Revised 03/24/08

FORSYTH COUNTY COMMERCIAL OR RESIDENTIAL SWIMMING POOL PERMIT APPLICATION
PERMIT # ******************************************SITE ADDRESS**************************************** Parcel or Site Address:_____________________________________City/State/Zip:_________________________ Parcel ID #(PIN): MAP_______PAR_______ Directions to Job Site:_____________________________________________________________________________________________ Subdivision:______________________________________________________________________Lot #:___________ ************************************CONTRACTOR INFORMATION******************************* F.C. Business Lic/Registration #:____________Business Name:________________________ Phone #:_____________ Address:___________________________________________________City/State/Zip:__________________________
Contact Person on Job Site:________________________________________Phone:___________________Fax:______________________

******************************************OWNER INFORMATION******************************* Last Name:________________________ First Name:______________________ MI:_____ Phone #:______________ Address:___________________________________________________City/State/Zip:__________________________ Applicant Last Name:_____________________ First:______________________ MI:_____ Phone #:_______________ ******************************************PROJECT INFORMATION****************************** Proposed Use:________________________________Description of work:____________________________________ Class Work: (check one) New Type Construction: On-Site Classification type: Commercial  Residential Indicate type of system Septic Sewer Square footage of Swimming Pool: ________________Pool type: Gunite  Liner  Fiberglass 
Will this be a heated pool 

Will this pool need an electrical underground inspection: 
****REQUIRED INFORMATION**** ***Total disturbed acreage associated with this permit and the disturbed acreage for any adjacent permits that will be disturbed at the same time: TOTAL ACREAGE:_____________________________DISTURBED ACREAGE:__________________________***

***************************PLEASE USE SQUARE FOOTAGE ONLY-NOT DIMENSIONS***********************

Current Use Of Property:

Vacant

Residential

Agricultural

Commercial

 Other

Other Buildings/Structures on Property:____________________________________________________________________ Zoning Class:_______________ Minimum Setback Requirements: Front: __________ Rear: ____________

Sides: __________

Corner: __________

Have you received a variance from the zoning requirements for this project? YES NO If so give AB#________________

****OFFICE USE ONLY***** Permit type Code:_______________ Zoning:__________________________ Class Work:____________________ Type Construction:__________________ Occupancy Group:____________ Neighborhood:__________________ Land Lots:_____________________ District:__________________ Minimum Setback Requirements: Front:____________ Rear:_____________ Sides:______________ Corner:_________________ Is this lot an exterior lot? Yes:___________No:__________

*NO STRUCTURES OF ANY TYPE SHALL BE INSTALLED OR CONSTRUCTED WITHIN ANY EASEMENT** I, ______________________________________________, hereby certify that the above information is true And correct. ___________________________ NOTARY PUBLIC SIGNATURE/STAMP ___________________________________________ APPLICANT SIGNATURE

------------------------------------------------------------------------------------------------------------------------------------------------------I am aware that a Georgia Soil & Water Conservation Commission Card Holder must be on site during any land disturbance activity. __________________________________________________ GSWCC CERTIFICATION CARD HOLDER SIGNATURE____________________________________

CERTIFICATION #:____________________________

NOTARY PUBLIC SIGNATURE/STAMP

OWNER / BUILDER AUTHORIZATION FORM
APPLICATION FOR BUILDING PERMIT FORSYTH COUNTY, GEORGIA
PERMIT #________________________ I hereby attest that I am the owner or builder/contractor of the property described as follows: __________________________________________________________________________________________________________ _______ ___________________________________________________, as shown on the final plat or tax records of Forsyth County, which is the subject matter of the attached application for a building permit. I hereby authorize the person named below to act as my agent in the pursuit of a building permit for this property.

NAME OF APPLICANT OR AGENT: ADDRESS:

____________________________________ ____________________________________ ____________________________________

CITY, STATE, ZIP CODE: TELEPHONE NUMBER:

____________________________________ ____________________________________

________________________________________ Signature of Owner ________________________________________ Notary Public Signature/Stamp ________________________________________ Commission Expiration ________________________________________ Signature of Builder/Contractor ________________________________________ Notary Public Signature/Stamp ________________________________________ Commission Expiration

Date:______________

Date:______________

AFFIDAVIT GEORGIA STATE ENERGY CODE FOR BUILDINGS/POOLS FORSYTH COUNTY DEPARTMENT FOR PLANNING AND DEVELOPMENT 110 EAST MAIN STREET, SUITE 100 CUMMING, GEORGIA 30040 OFFICE 770-781-2115 FAX 770-781-2197 DATE: NOTICE: THIS FORM MUST BE COMPLETED, SIGNED AND SUBMITTED TO THE BUILDING PERMIT SECTION PRIOR TO THE ISSUANCE OF THE BUILDING/POOL PERMITS. BUILDING PERMIT NUMBER: SUBDIVSION: JOB SITE ADDRESS: The State of Georgia has adopted as State Law, the 2006 edition of the International Energy Conservation Code with Georgia Amendments and supplements or, more commonly known as the Georgia State Energy Code for buildings/pools. This code regulates the design, erection, construction alteration and renovation of buildings/Pools. The designer/builder/general contractor shall comply with the standards of this code, which are applicable. This code contains requirements for energy conservation and became effective on January 1, 2008. Compliance with this code by designers, general contractors and builders is mandatory. COMPANY NAME: COMPANY ADDRESS: CITY: STATE ZIP CODE PHONE # LOT:

I, certify that the structure/building/pools located at the above referenced address will be designed and installed incompliance with the applicable edition of the Georgia State Energy Code of Building as adopted by the Department of Community Affairs under Title 8, Chapter 2, section 8-2-20(9)(B) of the Official Code of Georgia Annotated.

Print Name Sworn to and subscribed before me this

Signature day of , __________

Notary Public Revised 3/24/2008

SWIMMING POOL DRAIN DISCHARGE LOCATION
AFFIDAVIT
  Forsyth County Resolution number 6 states that no non-wastewater will be discharged into the County Sewer System. All swimming Pool drains, overflows and backwash discharge will not be piped to the County sanitary sewer. The penalty for violation of Resolution number 6 - “Any person violating this Ordinance shall be punished by a fine not to exceed $500.00, imprisonment not to exceed 60 days or both”.



By singing this affidavit I state that my swimming pool is not connected in any way to the County sanitary sewer system. ____________________________________________ Signature _________________________ Date

________________________________________________________________________ Address ________________________________________________________________________ Subdivision ________________________________________________ Notary Public


				
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