Fillable Form B53: RESIDENTIAL SWIMMING POOLS BAY COUNTY BUILDERS (Bay County Board of County Commissioners)

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Form B53: RESIDENTIAL SWIMMING POOLS BAY COUNTY BUILDERS (Bay County Board of County Commissioners)

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Form B53
Revised 03/18
BAY COUNTY BUILDERS’ SERVICES DIVISION
RESIDENTIAL SWIMMING POOLS
AVOID PROCESSING DELAYS
Please provide all applicable items listed below.
Parcel Number (Property ID #)
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.
1
Planning Approval for site location
2
Building permit application (Form B03)
3
Scaled site plan showing dimensions of property and distance from
property lines. Show all buildings and structures on property and indicate any
flood hazard areas (see R4501.4.2.1 of the Residential Building Code).
Engineered flood design required if in V zone or seaward of CCCL.
4
Completed, notarized Building Permit Application (Form B03)
5
Signed Owner Builder Affidavit if not a licensed contractor (Form B06)
6
Notice to Swimming Pool Owners Handout. (Form B30)
7
Receipt from water utility (if municipal water supply) or Water Statement(Form B09)
8
Copy of recorded Notice of Commencement (Form B05)
9
Pool plans showing compliance with Chapter 45 of Residential Building Code.
Plans need to show pool depth, shape, ladders and steps, any water features,
method of entrapment protection, plumbing diagrams with velocity flows,
location of pumps, heaters, and motors, type of filter system with filter capacity,
location of barriers, method of waste disposal, and electrical requirements of
Chapter 42 in the 6
th
Edition Residential Code.
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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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 B30
Revised 03/18
NOTICE TO SWIMMING POOL OWNERS REGARDING
PENALTIES FOR NOT PROVIDING POOL BARRIER
I, (property owner’s name) ,
at (address of pool) ,
on this date , have read and understand this pool barrier notice and understand
the penalties for not complying with Florida Law. I have been informed that, prior to filling pool with
water, I will need approved inspections and a barrier as required by 515 Florida Statutes and section
R4501.17 of the 6
th
Edition FBC.
The Code requires pools to be protected by a barrier (an approved wall, fence or other substantial structure).
The barrier shall completely protect the pool and is intended to prevent unauthorized and /or unsupervised access
to the pool. Effective March 1, 2002, jurisdictions cannot approve a final inspection for a pool unless it meets the
following pool safety barrier requirements.
NOTE: An effective pool barrier must be provided. One, or a combination of the following methods, must be
employed to provide the barrier. Please read all of the following, as some of the methods inter-relate to each other.
A swimming pool with an approved safety pool cover complying with ASTM F1346.
The pool may be isolated from access by a fence type barrier. If so, it shall be at least 4 feet (48”) high and
installed around the perimeter of the pool. Any openings in the barrier (railing, spacing, etc.) shall be less than
4” (inches). It must be designed to discourage climbing from the outside .
Access gates, when provided, shall be self-closing and shall comply with the requirements of Sections R4501.17.1.1
through R4501.17.1.7 and shall be equipped with a self-latching locking device located on the pool side of the gate. Where
the device release is located no less than 54 inches (1372 mm) from the bottom of the gate, the device release mechanism
may be located on either side of the gate and so placed that it cannot be reached by a young child over the top or through
any opening or gap from the outside. Gates that provide access to the swimming pool must open outward away from the
pool. The gates and barrier shall have no opening greater than
1
/
2
inch (12.7 mm) within 18 inches (457 mm) of the
release mechanism.
If the wall of the home is part of the required barrier, any doors or windows in that wall must be equipped with
an alarm that has a minimum sound pressure rating of 85 decibels at 10 feet and comply with UL 2017. A
delay/muting switch, at least 54 inches high, shall be provided for each door with an alarm (except as noted in
the next paragraph). Where a wall of a dwelling serves as part of the barrier, one of the following shall apply:
1. All doors and windows providing direct access from the home to the pool shall be equipped with an exit alarm
complying with UL 2017 that has a minimum sound pressure rating of 85 dBA at 10 feet (3048 mm). Any deactivation
switch shall be located at least 54 inches (1372 mm) above the threshold of the access. Separate alarms are not required
for each door or window if sensors wired to a central alarm sound when contact is broken at any opening.
Exceptions:
a. Screened or protected windows having a bottom sill height of 48 inches (1219 mm) or more measured from
the interior finished floor at the pool access level.
b. Windows facing the pool on floor above the first story.
c. Screened or protected pass-through kitchen windows 42 inches (1067 mm) or higher with a counter
beneath.
2. All doors providing direct access from the home to the pool must be equipped with a self-closing, self-latching device
with positive mechanical latching/locking installed a minimum of 54 inches (1372 mm) above the threshold, which is
approved by the authority having jurisdiction.
3. A swimming pool alarm that, when placed in a pool, sounds an alarm upon detection of an accidental or unauthorized
entrance into the water. Such pool alarm must meet and be independently certified to ASTM Standard F2208, titled
“Standard Safety Specification for Residential Pool Alarms,” which includes surface motion, pressure, sonar, laser, and
infrared alarms. For purposes of this paragraph, the term “swimming pool alarm” does not include any swimming
protection alarm device designed for individual use, such as an alarm attached to a child that sounds when the child
exceeds a certain distance or becomes submerged in water.
____
Property Owner’s Signature Date
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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Form B53: RESIDENTIAL SWIMMING POOLS BAY COUNTY BUILDERS (Bay County Board of County Commissioners)

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Completed 17 July 2020

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