Planning & Development Department
Building Permit Application
04/01/2019
501 North 44th St, Suite 200 - Phoenix, AZ 85008 - (602) 506-3301 - (602) 506-3282 fax
www.maricopa.gov/planning
Page 1 of 2
N/A
ADDRESS
CITY STATE ZIP CITY
STATE ZIP
CONTACT NAME PHONE CONTACT NAME PHONE
EMAIL EMAIL
N/A
RESIDENTIAL POOL & SPA
TRACKING NUMBER:
GOTO(S):
FOR OFFICE USE ONLY
SUBMITTAL DOCUMENTS REQUIRED FOR FIRST REVIEW
APPLICANT
COPIES
REQUIRED DOCUMENT
1
7
3
3
4
4
______
3
3
COMPANY NAME (IF APPLICABLE)
COMPANY NAME
ADDRESS
AGENT ARCHITECT/ENGINEER OWNER SAME AS CONTRACTOR
ADDITION TO STRUCTURE
4. Does the driveway tie into a Maricopa County right-of-way?
NO YES Street name:
_________________________
BBQ / FIRE FEATURE:______________ PROPANE TANK: ________ GAL
NO YES Septic receipt #:
OW_____________________
ADDITIONAL PERMIT TYPE
ACCESSORY STRUCTURE
APPLICANT INFORMATION
CONTRACTOR INFORMATION
CHECK ONE
LICENSE NUMBER
TRUST ACCOUNT NUMBER
NO YES Building permit #:
B______________________
PIPE: ______LF ______HT WOOD: ______LF ______HT
3. Will there be a new septic tank or changes to existing septic?
OTHER:________ _____LF ______HT
OTHER:_________ ______LF ______HT
CHECK "NO" OR "YES". PROVIDE THE RELATED INFORMATION IF APPLICABLE.
FENCE PERMIT TYPE
1. Are there any code violations on this property?
CMU/BLOCK: ______LF ______HT
CHAINLINK: ______LF ______HT
NO YES Violation case #:
V______________________
IRON: ______LF ______HT
RETAINING: ______LF ______HT
2. Is there any other construction occurring on this property right now?
WATER: WELL HAULED COMPANY:_______________________
POOL BARRIER
NEW - SELECT FENCE BELOW EXISTING - VERIFY ON SITE
GAS:
PROPANE
NATURAL GAS CO:__________________
UTILITIES TO PROPERTY (CHECK ONE AND FILL IN BLANK IF APPLICABLE)
PROJECT VALUATION
POOL/SPA AREA
POOL/SPA PERIMETER
WASTE WATER: SEWER SEPTIC ELECTRIC: APS SRP $ SQ FT FT
PROPERTY INFORMATION
PROJECT INFORMATION
PARCEL NUMBER
NEAREST CROSS STREETS
PERMIT TYPE
CITY
ZIP
__________________________________
__________________________________
, AZ
OWNER NAME
STANDARD PLAN POOL / SPA
#SP:______________________
PROJECT ADDRESS
CUSTOM POOL / SPA ABOVE-GROUND POOL / SPA
DETAILED WORK DESCRIPTION
Complete Permit Application Form
Site Plan or Grading & Drainage Plan
Approval Letter from Pool Engineer
Building Plan and Calculations or Manufacturers' Specifications
Fence Details
Building Plan and/or Structural Calculations
Details or Manufacturers' Specifications
_____________________________________________
Engineered Fence Details and Structural Calculations
Planning & Development Department
Building Permit Application
04/01/2019
501 North 44th St, Suite 200 - Phoenix, AZ 85008 - (602) 506-3301 - (602) 506-3282 fax
www.maricopa.gov/planning
Page 2 of 2
INITIALS:
PERSONAL GUARANTEE OF FINANCIAL RESPONSIBILITY
INITIALS:
PERSONAL ASSURANCE OF SUBMITTAL ACCURACY
INITIALS:
ACKNOWLEDGEMENT & AGREEMENT
PRINT NAME:
SIGNATURE: DATE:
RESIDENTIAL POOL & SPA
CONTRACTOR
AGENT
(CHECK ONE):
I acknowledge that I am the property owner or I have the authority to represent the property owner on this application as an authorized agent for
the property. Further, I guarantee access to Maricopa County personnel for the purpose of building inspections, zoning enforcement and the
provision of emergency services. I agree to abide by all of the development laws of Maricopa County. The information and plans provided are
correct to the best of my knowledge including recorded lot dimensions and structure locations. I understand filing of an application containing
false or incorrect information, with the intent to avoid the licensing requirement of ARS Title 32, is falsification pursuant ARS section 13-2701 and is a
class 2 misdemeanor.
Owner / Builder will do the work themselves, with their own employees, for owner’s use and not for sale or rental within
one year of completion.
Owner / Applicant is claiming another exemption under ARS, Section 32-1121.A. A signed statement from the Registrar of
Contractors verifying exemption must be attached.
YES NO
YES NO
FEE INFORMATION
FOR OFFICE USE ONLY
TRACKING NUMBER:
GOTO(S):
I am aware and understand the fee information below:
I hereby unconditionally and without reservation guarantee and warranty to Maricopa County that the documents submitted to Maricopa
County Planning and Development, including but not limited to the application materials and/or any and all site plan(s) and building plans,
provide a true and accurate depiction of the requested construction and accurately reflect the existing conditions of the subject parcel.
In addition, issuance of a Zoning Clearance in conjunction with this application by the Department does not approve or imply the approval of
other structures, permitted or unpermitted, which may be on the same property, but which are not the subject of this permit request.
I also certify, to the best of my knowledge, that each of the buildings, structures, and conditions reflected on the submitted plan is in
I hereby absolutely, unconditionally and irrevocably guarantee to Maricopa County the prompt payment of any and all fees and charges in
connection with this application, without the necessity of Maricopa County first seeking payment from the named applicant.
guarantee prompt payment of the balance of any and all fees and charges incurred.
This includes that if at any time, a written cancellation is submitted for this project application, I personally
I am aware that Maricopa County Planning and Development will rely upon the accuracy of the materials provided to perform a Zoning
Clearance review, as required in the Maricopa County Zoning Ordinance, Section 1504.5. I have also seen and verified that the submitted site
plan materials include and accurately provide all listed items on the Department’s Site Plan Checklist.
I am aware and understand that the issuance of a Building Permit does not represent that Maricopa County has verified or authenticated the
veracity of any materials submitted in support of the application for permit. I understand that Maricopa County will issue a Building Permit based
upon the subject materials and that any falsification of documentation submitted as part of this permit application may void the Building Permit
upon which it is based.
www.maricopa.gov/DocumentCenter/View/272/Maricopa-County-Zoning-Ordinance-PDF
compliance with the Maricopa County Zoning Ordinance, which may be found at:
OWNER
For residential projects, there is an online fee estimator to assist with planning / preparing for your project:
www.maricopa.gov/391/Fee-Schedule-and-Estimators
An upfront fee will be required upon acceptance - $210 for Custom Pool/Spa, $110 for Production Pool/Spa and
$210 for Above-Ground Pool/Spa
If the application / permit submittal is not approved on the initial review, full permit fees will be required at the time
the revised submittal is accepted.
Any remaining fee balance must be paid prior to permit issuance.
If a permit application is denied, any unearned fees will be refunded.