Fillable Pool Spa Permit Application (Town of Fort Myers Beach)

Fill Online, Printable, Fillable, Blank Pool Spa Permit Application (Town of Fort Myers Beach) Form

Use Fill to complete blank online TOWN OF FORT MYERS BEACH (FL) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Pool Spa Permit Application (Town of Fort Myers Beach)

On average this form takes 20 minutes to complete

The Pool Spa Permit Application (Town of Fort Myers Beach) form is 6 pages long and contains:

  • 4 signatures
  • 28 check-boxes
  • 51 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Town of Fort Myers Beach

BROWSE TOWN OF FORT MYERS BEACH (FL) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
POOL AND SPA
Town of Fort Myers Beach
2525 Estero Blvd. Fort Myers Beach, FL 33931
Phone # (239) 765 -0202 Permits@fmbgov.com Fax # (239) 765-0909
Job Information: Flood Zone:_________________BFE:___________
Owner Name: _________________________________________ Phone # __________________________________
Owner Mailing Address (if different):________________________________________________________________
STRAP #: ______________________________________________________________________________________
Job Address: ______________________________________________ Fort Myers Beach, FL 33931 Lee County
Contractor’s Information:
Contractor Business Name:________________________________State Cert/CC Comp Card #:_________________
Qualifiers Name: ________________________________ Job Rep: ________________________________________
Address:_________________________________________________ City________________________ State______
Phone# __________________________ Email Address _________________________________________________
Scope of work: _________________________________________________________________________________
______________________________________________________________________________________________
Estimated cost value: __________________*if over $2500 a NOC and Building Addendum is required
Are you using Private Provider services for Plan Review? NO YES Inspections? NO YES
Pool Safety Feature (Check One):
Barrier Alarms Self- Closing Latching Doors
Pool Cover Removable Ladder (for above ground pools with a wall height of 48’’ or greater)
Pool/Spa Type: Fiberglass Masonry Above Ground, provide pool dimensions: ______________________________
House under Construction? YES NO
Retaining Wall YES NO
Pool Resurface YES NO Pool Const. Drawings Mastered YES NO
(Pool resurfacing) Provide a drawing of the pool showing Pool Master#_____________________________________
the location of all the markings.
PERMIT CHECKLIST- The following must be included with the application
An electronic set of digitally signed and sealed engineering plans
One (1) Boundary Survey showing existing conditions
One (1) Engineered drainage plan if 500 square feet of impervious is created
One (1) site plan showing:
Property dimensions
Pool/deck dimensions and setbacks
Footer details (if applicable)
Pool equipment location and setbacks
Proposed finished elevation above existing grade
Equipment overflow line
Silt Fence
POOL ENCLOSURE AFFIDAVIT
This is to certify that I am applying for a Pool and Deck permit. The enclosure will be a separate permit. However, I
understand in accordance with the Zoning Regulations of the Town of Fort Myers Beach Land Development Code, A
PERMANENT ENCLOSURE MUST BE IN PLACE AND AN ENCLOSURE PERMIT POSTED PRIOR TO A FINAL INSPECTION
AND CERTIFICATE OF COMPLIANCE BEING ISSUED FOR MY PERMIT.
Contractor/ Owner Name:_________________________________________________________________________
Project Address:______________________________________________________________________________
Reference/ Building Permit: ________________________________________________________________________
June 22, 2020
POOL AND SPA
Town of Fort Myers Beach
2525 Estero Blvd. Fort Myers Beach, FL 33931
Phone # (239) 765 -0202 Permits@fmbgov.com Fax # (239) 765-0909
POOLS, SPAS, OR WATER FEATURES IN
COASTAL HIGH HAZARD AREAS (V ZONES)
Pools, spas, or water features located within the areas of special flood hazard are designated as
coastal high- hazard areas or “V” Zones. These areas have special flood hazards associated with
wave wash and scour, therefore the following additional provisions apply:
The Design Professional must certify that the pool, spa, or water feature including
deck and foundation, either at-grade or elevated, has been designed and site
located to assure that:
It will not be subject to breaking up or floating out of the ground
It will not increase wave or debris impact forces during the storm surge water forces of a coastal
flood
It will not increase the damage potential or jeopardize the integrity to the foundation
and elevated portion of any nearby buildings (Reference 2014 FBC: 3109.7 Swimming
Pools.)
Pools, spas and water features in a “V” zone SEAWARD of the Coastal Construction Control Line
MUST be pile supported and the statements above must be included by the Design Professional.
Pools, spas and water features in a “V” zone LANDWARD of the Coastal Construction Control Line DO
NOT need to be pile supported but the statements above must be included by the Design Professional.
June 22, 2020
POOL AND SPA
Town of Fort Myers Beach
2525 Estero Blvd. Fort Myers Beach, FL 33931
Phone # (239) 765 -0202 Permits@fmbgov.com Fax # (239) 765-0909
RESIDENTIAL SWIMMING POOL SPA AND HOT TUB
SAFETY ACT REQUIREMENT
PERMIT#
ADDRESS:
I, , License #
(Please print contractor’s Name)
Hereby affirm that one of the following methods will be used to meet the requirements of Chapter 515, Florida
Statutes.
The pool will be isolated from access to the home by an enclosure that meets the pool barrier
requirements of Florida Statute, Section 515.29.
The pool will be equipped with an approved safety pool cover that complies with ASTM F1346-91
(Standard Performance Specifications for Safety Covers for Swimming Pools, Spas, and Hot Tubs).
All doors and windows providing direct access from the home to the pool will be equipped with an
exit alarm that has a minimum sound pressure rating of 85 decibels at 10 feet; ALL ALARMS MUST BE
PERMANENTLY ATTACHED (BY BEING SCREWED IN) TO ALL WINDOWS AND DOORS LEADING TO POOL AREA.
All doors providing direct access from the home to the pool will be equipped with a self-closing, self-
latching device with a release mechanism placed no lower than 54” above the floor or deck.
***********************IN ADDITION *************************
If a fixed barrier is to be used in place of the screen around the perimeter of the pool, no property
perimeter fence will be required. If a removable child barrier is used, one end shall not be removable without the
aid of tools. (Manufacturer’s specifications and barrier location sketch must be submitted.)
Permit #
If a Baby Barrier around perimeter of pool is not permanently affixed to the pool deck, a property
fence will be required. All fences must be a minimum 48” high, with 54” high gate latches. All gates shall swing to
the outside and be self closing self latching.
I understand that a barrier must be placed around the perimeter of the pool and must be separate from any fence,
wall, or other enclosure surrounding the yard unless the fence, wall, or other enclosure or portion thereof is
situated on the perimeter of the pool, is being used as part of the barrier, and meets the barrier requirements of
this section. I also understand that not having one of the above installed at time of final inspection will constitute
a violation of Chapter 515 F.S.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOURPAYING 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 RECORDING YOUR NOTICE OF COMMENCEMENT.
June 22, 2020
Town of Fort Myers Beach
2525 Estero Blvd. Fort Myers Beach, FL 33931
Phone : 239 765-0202 Permits @fmbgov.com Fax: 239 765-0909
This page is required for ALL Building Permit Applications
ACKNOWLEDGEMENT OF TOWN OF FORT MYERS BEACH REGULATIONS BY OWNER OR AGENT OF OWNER
NOTICE OF ADDITIONAL RESTRICTIONS: In addition to the requirements of this permit, there may be additional restrictions applicable to this property
that maybe found in the public records of this County, and there may be additional permits required from other governmental entities such as the Water
Management District, State agencies, or Federal agencies.
WARNING OF WORK IN THE COUNTY RIGHT-OF-WAYS: This permit does not authorize construction or installation of any structure or utility, above or below
ground, within any right of way or easement reserved for access, drainage or utility purposes. This restriction specifically prohibits fencing, sprinkler systems,
landscaping other than sod, signs, water, sewer, cable and drainage work therein. If such improvements are necessary, a separate permit for that purpose
must be obtained from the Building Department.
NOTICE OF CLEARING RESTRICTIONS: Issuance of a Demolition Permit for a structure does not authorize removal of vegetation beyond the footprint of the
structure. A Demo Permit is not a clearing permit.
INSPECTIONS This permit is void if the first inspection is not made within six (6) months from the date issued or if no inspection has been made for a period
of six (6) months from the most recently passed inspection. The permit is void if the zoning classification is violated. Applicant agrees to comply with the
sanitary regulations and understands that the proposed structure may not be used or occupied until an approved certificate of occupancy is issued.
Applicant further understands that failure to obtain permit or misrepresentation of the improvements is a misdemeanor and upon conviction, applicant can
be punished as provided by the law. Failure to comply with the mechanics lien law can result in the property owner paying twice for improvements
WORK IN THE SPECIAL FLOOD HAZARD AREA: Be advised that Substantial Damage/Substantial Improvement requirements will apply to structures located
in the Special Flood Hazard Area with Finished Floor Elevations below the Base Flood Elevation.
CERTIFICATION: Application is hereby made to obtain a permit to do the work and installations as indicated. I, THE OWNER OR AGENT OF OWNER, certify
that I have not performed any work or installation 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. The permit or application fee may have additional fees imposed for failing to obtain permits prior to
commencement of construction. The permit application or approved permit expires if work is not commenced within 180 days from the date of issuance. I,
THE OWNER OR AGENT OF OWNER understand that the structure cannot be used or occupied until a certificate of occupancy is issued. By signing this permit
application, I, THE OWNER OR AGENT OF OWNER, agree that I have been retained by the property owner to provide contracting services for the trade for
which I am listed. Furthermore, it is my responsibility to notify the Building Plan Review and Inspection Division should I no longer be THE OWNER OR AGENT
OF OWNER responsible for providing said contracting services. I, THE OWNER OR AGENT OF OWNER , agree that I understand the review and issuing of this
permit does not exempt me from complying with all State and local County Codes and Ordinances.
Job Street Address:______________________________________________________________________________________________
I, _____ (Property Owner), hereby certify that
_______________________________________ is my authorized agent/representative of the property described
herein. All answers to the questions in this registration and any supplementary information attached
to and made part of this registration is honest and true.
Signature of Property Owner
Typed or printed name of Property Owner
STATE OF _____ _____ COUNTY OF ________________
The foregoing instrument was certified and subscribed before me
by means of _____ physical presence
OR_____online notarization,
this ______day of ___________________, 20______, by ______________________, _____ who
is personally known to me OR _____ who has produced ______________________ as identification.
Notary Public Signature
(SEAL)
June 22, 2020
click to sign
signature
click to edit
click to sign
signature
click to edit
Town of Fort Myers Beach
2525 Estero Blvd. Fort Myers Beach, FL 33931
Phone : 239 765-0202 Permits @fmbgov.com Fax: 239 765-0909
NOTICE OF COMMENCEMENT INFORMATION
Per Florida Statutes 713.135 a Notice of Commencement (NOC) is required for construction of improvements totaling more than $2,500, with
certain exceptions. For A/C Repairs or Replacements a notice of commencement is required for improvements more than or equal to $7,500. The
applicant shall file with the issuing authority prior to the first inspection either a certified copy of the recorded NOC or a notarized statement that
the NOC has been filed for recording, along with a copy thereof. In order to comply with the state requirement, permits will be placed in
inspection hold until proof of the NOC is filed with the building permitting and inspection department. The issuing authority shall not perform or
approve subsequent inspections until the applicant files by mail, facsimile, hand delivery, email or any other means such as certified copy with
the issuing authority.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
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 RECORDING YOUR NOTICE OF COMMENCEMENT.
June 22, 2020
Town of Fort Myers Beach
2525 Estero Blvd. Fort Myers Beach, FL 33931
Phone : 239 765-0202 Permits @fmbgov.com Fax: 239 765-0909
This page is required for ALL Building Permit Applications
ACKNOWLEDGEMENT OF TOWN OF FORT MYERS BEACH REGULATIONS BY THE QUALIFIER
NOTICE OF ADDITIONAL RESTRICTIONS: In addition to the requirements of this permit, there may be additional restrictions applicable to this property
that maybe found in the public records of this County, and there may be additional permits required from other governmental entities such as the Water
Management District, State agencies, or Federal agencies.
WARNING OF WORK IN THE COUNTY RIGHT-OF-WAYS: This permit does not authorize construction or installation of any structure or utility, above or below
ground, within any right of way or easement reserved for access, drainage or utility purposes. This restriction specifically prohibits fencing, sprinkler systems,
landscaping other than sod, signs, water, sewer, cable and drainage work therein. If such improvements are necessary, a separate permit for that purpose
must be obtained from the Building Department.
INSPECTIONS: This permit is void if the first inspection is not made within six (6) months from the date issued or if no inspection has been made for a
period of six (6) months from the most recently passed inspection. The permit is void if the zoning classification is violated. Applicant agrees to comply with
the sanitary regulations and understands that the proposed structure may not be used or occupied until an approved certificate of occupancy is issued.
Applicant further understands that failure to obtain permit or misrepresentation of the improvements is a misdemeanor and upon conviction, applicant can
be punished as provided by the law. Failure to comply with the mechanics lien law can result in the property owner paying twice for improvements
NOTICE OF CLEARING RESTRICTIONS: Issuance of a Demolition Permit for a structure does not authorize removal of vegetation beyond the footprint of the
structure. A Demo Permit is not a clearing permit.
WORK IN THE SPECIAL FLOOD HAZARD AREA: Be advised that Substantial Damage/Substantial Improvement requirements will apply to structures located in
the Special Flood Hazard Area with Finished Floor Elevations below the Base Flood Elevation.
CERTIFICATION: Application is hereby made to obtain a permit to do the work and installations as indicated. I, THE QUALIFIER, certify that I have not
performed any work or installation 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. The permit or application fee may have additional fees imposed for failing to obtain permits prior to commencement of
construction. The permit application or approved permit expires if work is not commenced within 180 days from the date of issuance. I, THE QUALIFIER
understand that the structure cannot be used or occupied until a certificate of occupancy is issued. By signing this permit application, I, THE QUALIFIER, agree
that I have been retained by the property owner to provide contracting services for the trade for which I am listed. Furthermore, it is my responsibility to
notify the Building Plan Review and Inspection Division should I no longer be THE QUALIFIER responsible for providing said contracting services. I, THE
QUALIFIER , agree that I understand the review and issuing of this permit does not exempt me from complying with all County Codes and Ordinances.
Job Street Address:_________________________________________________________________________________________
I, _____ (Qualifier ), hereby certify that all answers to the questions
in this registration and any supplementary information attached to and made part of this registration
is honest and true.
Signature of Qualifier
Typed or printed name of Qualifier
STATE OF _____ _____ COUNTY OF ________________
The foregoing instrument was certified and subscribed before me
by means of ______ physical presence
OR______online notarization,
this ______day of ___________________, 20_______, by _______________________________,
____ who is personally known to me OR _____ who has produced ______________________ as identification.
Notary Public Signature
(SEAL)
June 22, 2020
click to sign
signature
click to edit
click to sign
signature
click to edit
Town of Fort Myers Beach
2525 Estero Blvd. Fort Myers Beach, FL 33931
Phone : 239 765-0202 Permits @fmbgov.com Fax: 239 765-0909
NOTICE OF COMMENCEMENT INFORMATION
Per Florida Statutes 713.135 a Notice of Commencement (NOC) is required for construction of improvements totaling more than $2,500, with
certain exceptions. For A/C Repairs or Replacements a notice of commencement is required for improvements more than or equal to $7,500. The
applicant shall file with the issuing authority prior to the first inspection either a certified copy of the recorded NOC or a notarized statement that
the NOC has been filed for recording, along with a copy thereof. In order to comply with the state requirement, permits will be placed in inspection
hold until proof of the NOC is filed with the building permitting and inspection department. The issuing authority shall not perform or approve
subsequent inspections until the applicant files by mail, facsimile, hand delivery, email or any other means such as certified copy with the issuing
authority
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
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 RECORDING YOUR NOTICE OF COMMENCEMENT.
June 22, 2020
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Pool Spa Permit Application (Town of Fort Myers Beach)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 14 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document