Fill - Free fillable FORM B52: COMMERCIAL SWIMMING POOL CHECKLIST (Bay County Board of County Commissioners) PDF form

FORM B52

Revised 9/14

COMMERCIAL SWIMMING POOL CHECKLIST

BAY COUNTY BUILDERS’ SERVICES DIVISION

840 W. 11th St., Panama City, Fl. 32401, Phone: (850) 248-8350 Fax: (850) 248-8384

AVOID PROCESSING DELAYS

Please provide all applicable items listed below.

Note: An application for an operating permit must have been applied for with DOH

Parcel Number (Property ID #)

1

Planning Approval

2

Operating permit application from DOH

3

Building permit application (Form B03)

4

Two (2) copies of a scaled site plan showing dimensions of property and

distance from property lines. Show all buildings and structures on property and

indicate all flood hazard areas subject to section 454.1.1 FBC.

5

Complete (Form B54) Data Sheet for public pools

6

Receipt from water utility (if municipal water supply) or Water Statement (Form B09)

7

Copy of recorded Notice of Commencement (Form B05) prior to 1

st

inspection

8

Pool plans showing compliance with Section 454.1 of Florida Building Code.

(Please note that 3 copies of construction plans are needed. You will need to

provide reviewed plans to the DOH for the operating permit)

Applicant’s Signature ______________________ Date __________________

Phone # ___________________ Cell # __________________

NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to

this property that may be found in the public records of this county, and there may be additional permits

required from other government entities such as water management districts, state agencies, or federal

agencies.

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FORM B03

Page 1 of 2

Revised December 28, 2017

APPLICATION FOR BUILDING PERMIT

Code in effect 6

th

Edition Florida Building Code

OWNER’S NAME: Phone #:

Address:

PROJECT ADDRESS: Parcel ID

Proposed use of site:

Commercial Projects, please list name of business:

CONTRACTOR’S NAME:

Address:

Contact Phone #: Cell #: E-mail:

State License #: Competency Card:

INTENDED OCCUPANCY:

Public Lodging Establishment*

Single Family Residence

Commercial

BUILDING INFORMATION:

Residential

Commercial

Valuation of Work: $

New

Addition

Alter/Repair

Other:

Number of Stories

Number of Units

Square Ft. – U.R.:

Square Ft. – H/C:

*Pursuant to Fla. Stat. §509.013, public lodging establishment means any unit, group of units, dwelling,

building, or group of buildings within a single complex of buildings which is rented to guests more than three

times in a calendar year for periods of less than 30 days or 1 calendar month, whichever is less, or which is

advertised or held out to the public as a place regularly rented to guests. Included in this definition are

vacation rentals.

A change of occupancy or use of a building may require the owner to make application to the Building Official and

obtain the required permit for the new occupancy.

Bay County Builders Services

840 W. 11

th

ST.

Panama City, FL 32401

850-248-8350 Fax: 850-248-8384

Master Permit #__________________

Date: ___________________________

Single Family

Dock/seawall

Windows

Duplex

Storage

Doors

Multi-Family

Demolition

Vinyl Siding

Garage/Carport

Swimming pool

Shutters

Other (describe)

FORM B03

Page 2 of 2

Revised December 28, 2017

BONDING COMPANY:

Address:

City, State & Zip Code:

ARCHITECT’S/ENGINEER’S NAME:

Address:

City, State & Zip Code:

MORTGAGE LENDER’S NAME:

Address:

City, State & Zip Code:

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, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR

CONDITIONERS, and etc.

NOTICE: Bay County Builders’ Services Division does not have the authority to enforce deed restrictions or covenants

on properties. You are advised to check for any restrictions that may affect your property.

For improvements to real property with a construction cost of $2,500 or more, a certified copy of the Notice of

Commencement is required to be submitted to Builders’ Services when application is made for a permit or the

applicant may submit a copy of the Notice of Commencement along with an Affidavit attesting to its recording. A

certified copy of the Notice of Commencement must be provided to Builders’ Services and posted on the jobsite before

the first inspection can be performed.

The enforcing agency shall require each building permit for the demolition or renovation of an existing structure to

contain an asbestos notification statement which indicates the owner's or operator's responsibility to comply with the

provisions of Section 469.003, Florida Statutes, and to notify the Department of Environmental Protection of his or her

intentions to remove asbestos, when applicable, in accordance with state and federal law.

IMPORTANT: The building permit is valid as long as there is construction progress and an approved inspection is

recorded within each 180 days (6 months) period.

Owner/Agent/Contractor Affidavit

I certify that all statements, drawings, and other information submitted on and with this application are true and correct

and that all work will be done in compliance with all applicable laws. I further certify that I have reviewed the applicable

regulations associated with the proposed construction and intended use. I understand that the submittal of incorrect

information or any changes which vary from the approved plans will result in the revocation of this permit.

(Signature of Owner) Date (Signature of Contractor) Date

(Signature of Notary Public – Stamp or Seal) Date (Signature of Notary Public – Stamp or Seal)Date

NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be

found in the public records of this county, and there may be additional permits required from other government entities such as

water management districts, state agencies, or federal agencies.

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DATA SHEET FOR PUBLIC SWIMMING POOL PERMIT

BAY COUNTY BUILDERS’ SERVICES DIVISION

840 W. 11th St., Panama City, Fl. 32401, Phone: (850) 248-8350 Fax: (850) 248-8384

This form is to be completed and submitted with plans and specifications in minimum of three copies.

New Construction Revision Modification Operating permit No.________________

1. Name of Project

Address of Pool City County

2. Name of Owner Phone Number ( )

Mailing Address City State Zip

3. Pool Type: Conventional Spa Wading Special Purpose Water Recreation Attraction

Indoor Outdoor Transient Non-transient

4. No. of Units Served: No. of Stories Distance of Farthest Unit from Pool: Elevator: Yes No

5. Number of Sanitary Facilities:

6. Method of Waste Water Disposal: _

7. Pool Volume in Gallons: Bathing Load: Water Source:

8. Dimensions: Width: Length: Area: Perimeter: Depth: Max. Min. Shape

9. Type Construction Material: Shell Finish Color

10. Equipment Make and Model:

(A) Recirculation Pump: Flow GPM At TDH HP

(B) Filter: Area Sq. Ft. Flow Capacity

(C) Disinfection Equipment: Capacity (GPD) or (PPD)

(D) pH Adjustment Feeder: Capacity (GPD)

(E) Test Kit:

Permit number (assigned by Building Dept.): _______________________

Florida licensed design professional must seal and date the plans and this form according to section

105.3.1.2(6) of the 6

th

Edition FBC. A copy will also be needed for the operating permit from the

DOH.

Water Closets

Urinals

Lavatories

Dressing Rooms

Distance From

Pool: ________

Male

Female

Form B54

The design engineer certifies that the plans and specifications

provided meet the requirements of the Florida Building Code

for public pools.

Date

Signature and seal: Engineer registered under Florida Statutes

These plans, specifications and related documents are

approved and accepted by the owner/owner’s representative.

Date

Signature: Owner/Owner’s Representative

Typed Name and Florida registration number _____________ Typed Name and Title of Above ________________________

Phone Number: ____________________________________ Phone Number:_____________________________________

E-mail Address: E-mail:

Address: Address:

Street Street

City State Zip City State Zip

To be completed by plans examiner licensed under 468 F.S.

These plans for the proposed construction cited in the foregoing application are hereby approved with the following

proviso(s):

Construction on this project shall be commenced within 180 days from the date of approval of this application.

This approval is for the functional aspects of this project and is based on the information and data supplied by the applicant or his

agent. There may be other local permits, requirements or regulations that must be met prior to the construction of this facility.

Only those applications, plans and specifications that have been stamped “REVIEWED” are included in this approval. Any changes to

these applications, plans or specifications may render this approval null and void.

Approval Stamp and Date By:

Plans Examiner

Permit number: _______________________

Print Name

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Form B09

Revised 5/30/12

BAY COUNTY BUILDERS’ SERVICES DIVISION

STATEMENT FOR WATER

Site Address: _____________________________________

WELL A working potable water well located on the site which will be used

water supply to the structure. (no public utilities are available)

SEPTIC TANK A new or existing septic system located on the site will be

used. (Provide a current septic permit or existing system letter from the Bay

County Health Department before building permit can be issued.

PUBLIC UTILITIES – WATER Are available and will utilized for water to the

structure. (Provide water receipt from serving utility company indicating

available service and that all tap fees and impact fees have been paid)

PUBLIC UTILITIES – SEWER Are available and will be utilized for sewer to

the structure. (Provide sewer receipt from serving utility company indicating

available services and that all tap fees have been paid)

Owner/Agent/Contractor Signature

Date

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Form B05

Revised 5/30/12

NOTICE OF COMMENCEMENT

Permit No. Tax Folio No.

State of Florida

County of Bay

To Whom It May Concern:

The undersigned hereby gives Notice that improvement will be made to certain real property, and in

accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of

Commencement.

Description of property (legal description of the property, and street address if available):

General description of improvement:

Owner Name:

Address:

Owner’s interest in site of the improvement:

Fee Simple Titleholder Name:

Address:

Contractor Name:

Address:

Phone Number:

Payment Bond Surety:

Address:

Phone Number: Amount of Bond: $

Lender Name:

Address:

Phone Number:

Person within the State of Florida designated by Owner upon whom Notices or other documents may be

served as provided by Section 713.13(1) (a) 7., Florida Statutes:

Name

Address

Phone Number:

In addition to himself or herself, Owner designates

of to receive a copy of the Lienor’s Notice

as provided in Section 713.13(1) (b), Florida Statutes. Phone Number:

Expiration date of Notice of Commencement is one (1) year from date of recording

unless a different date is specified .

Signature of Owner

Sworn to (or affirmed) and subscribed before me this day of , 20 ,

by (name of person making statement).

Signature of Notary Public (State of Florida)

NOTARY SEAL

Personally Known or Produced Identification

Type of Identification Produced _____________________

WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE

NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROVER PAYMENTS UNDER CHAPTER 713,

PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR

IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED

AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN

FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK

ON RECORDING YOUR NOTICE OF COMMENCEMENT.

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