Swimming_Pool by chrstphr

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									                                    HARDEE COUNTY SWIMMING POOL PERMIT APPLICATION
                                                      401 West Main Street, Wauchula, FL 33873-2832 -- (863) 773-3236


DATE ____________________               CONSTRUCTION sf____________                                 ZONING District_________________            Permit No.___________________

Surcharge (1%)                          $ ________________________                                  Parcel ID.______________________________________
Building Permit Fee                     $_________________________

Plan Review Fee/specs                   $ _________________________

Concurrency Review                      $ _________________________

Electrical Fee                          $ _________________________

Plumbing Fee                            $ _________________________                       _____ CITY OF BOWLING GREEN               APPLICATIONS REVIEWED BY:
                                                                                                                                    (ALL PLANS REVIEW DONE BY BUILDING OFFICIAL)
Mechanical Fee                          $ _________________________                       _____ CITY OF WAUCHULA

Alarm Fee                               $ _________________________                       _____ HARDEE COUNTY                       ___________________________________________

Gas Fee                                 $ _________________________                       _____ TOWN OF ZOLFO SPRINGS
                                                                                                                                    ___________________________________________
Late Penalty (100.00)                   $ _________________________

Double Permit Fee                       $ _________________________

TOTAL                                   $ _________________________

Property Owner Name _____________________________________________________________________________________________                   Phone _____________________________________________


Mailing Address ___________________________________________________________________________________________________________________________________________________________


Name of Contractor ________________________________________________________________________________________________                 Phone _____________________________________________

                                                                                                                                    State
Mailing Address ___________________________________________________________________________________________________                 License No. _________________________________________

                                                                                                                                    Comp Card No. ______________________________________
Job Name ________________________________________________________________________________________________________
                                                                                                                                    Type and Size of Structure Project
Job/Property Location     ___________________________________________________________________________________________




Project: Permit to Construct/ Erect/
Install________________________________________________________________________________________________
                                                                                                                                    SETBACKS:

DOH Septic Permit No.___________________________                  Per DOH Septic System Finaled _________________________________   Front: __________   Sides:__________   Rear: _________
                          (COPY ATTACHED)                                                           (Date)

Construction
Type:      Frame (        )             Masonry (     )           Metal (   )   Mobile/Modular Home (    )    Other (   )           Project Cost:   $ _____________________

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 THE ISSUANCE
OF A PERMIT AND THAT ALL WORK WILL BE PERFORMED TO MEET THE STANDARDS OF ALL LAWS REGULATING CONSTRUCTION IN THIS JURISDICTION. I UNDERSTAND THAT A SEPARATE PERMIT
MUST BE SECURED FOR ELECTRICAL WORK, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC.
                                                                                                --NOTICE—
       This permit becomes null and void if work or construction authorized is not commenced within 6 months, or if construction or work is suspended or abandoned for a period of
  6 months at any time work is commenced. There may be additional permits required from other governmental entities such as water management districts, state or federal agencies.

                                                  (PREPARED PLOT PLAN DRAWN TO SCALE SHALL BE SUBMITTED)
    I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type
    of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any
    other state or local law regulating construction or the performance of construction. _______ INITIAL

                                                            DISCLOSURE STATEMENT FOR OWNER-BUILDER
State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of the
property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one or two family residence
or a farm outbuilding. The buildings must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease more than one building you have built yourself
within one year after the construction is complete, the law will presume that you built it for sale or lease which is a violation of this exemption. You may not hire an unlicensed
contractor. The construction must be done according to building codes and zoning regulations. It is your responsibility as the Owner-Builder to make sure that people employed by
you have current licenses required by state law and by county or municipal licensing ordinances.

                                    *** ALL FEES NON-REFUNDABLE BY RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS ***


________________________________________________________________________________________/_________________________________________________________________________________
Print Name of Contractor or Authorized Agent (if Agent, notarized letter of authorization required) Signature                                          Date

________________________________________________________________________________________/_________________________________________________________________________________
Print Name of Property Owner (if Owner-Builder)                                                  Signature                                            Date

STATE OF FLORIDA                                     COUNTY OF ____________________________


Before me, the undersigned, appeared ___________________________________________________

on this the _______ day of ________________________________________________, ____________                      ________________________________________________________________________
                                                                                                               Signature of Building Official or Designee
who affirmed that he/she read and understood the foregoing and who signed the same freely and

voluntarily and who is personally known to me (     ) or who produced
                                                                                                               ________________________________________________________________________
______________________________________________ as identification.                                              Date


_________________________________________________________________________________
Signature of Notary Public




                                                                                                    CODE IN EFFECT AT TIME OF PLANS SUBMISSION 2004
                                                                                                    FLORIDA BUILDING, PLUMBING, MECHANICAL & FUEL
                                                                                                    GAS CODES, 2005 NATIONAL ELECTRIC CODE.

								
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