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U.S.A. forms for Town of Lauderdale By The Sea Florida

BROWSE TOWN OF LAUDERDALE BY THE SEA FLORIDA (FL) FORMS

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Building Department
4501 N Ocean Drive
Lauderdale-By-The-Sea, FL 33308
954-640-4215
12/2018
SWIMMING POOL PERMIT APPLICATION
Submission Requirements:
(Must submit two of each document)
COMPLETE BUILDING PERMIT APPLICATION SIGNED AND NOTARIZED
DOCUMENTED PROOF OF COST INCLUDING ALL TRADES
NOTICE OF COMMENCEMENT FOR PROJECTS OVER $2,500 IN VALUE
HOMEOWNERS APPROVAL
ZONING DEPARMENT APPROVAL
TEMPORARY CONSTRUCTION FENCE PERMIT
SILT FENCING PERMIT FOR PERMIETER OF WORKSITE
CURRENT SURVEY SIGNED AND SEALED – MUST SHOW ALL EASEMENTS
AND ELEVATIONS
ELEVATION CERTIFICATE SIGNED AND SEALED – MUST SHOW BASE FLOOD
ELEVATION AND FLOOD ZONE
SWIMMING POOL BARRIER – AS REQUIRED
FENCE OR SCREEN PERMIT – AS REQUIRED
SITE PLAN SHOWING LOCATION OF POOL
POOL PLAN
PERVIOUS AND IMPERVIOUS SPACE CALCULATIONS
VISIT THE TOWN’S CODE SECTION FOR SWIMMING POOL REGULATIONS
Town Code Sec. 30-313
X__________________________________________________________
Signature of Qualifier
STATE OF
COUNTY OF
Sworn to (or affi
rmed) and subscribed before me this_______ day of
__________________________, 20_______ by
____________________________________
(Type / Print Qualifier’s Name)
_____________________________________
NOTARY’S SIGNATURE as to Qualifier’s Signature
Notary Name ______________________________
(Print, Type or Stamp Notary’s Name)
Personally Known _____ or Produced Identification ______
Type of Identification Produced __________________________________
BROWARD COUNTY UNIFORM BUILDING PERMIT APPLICATION
Select One Trade: Building Electrical Plumbing Mechanical Other _______________
Application Number: Application Date:
Job Address: Unit: City:
Tax Folio No.:
Flood Zn: BFE:
Floor Area: Job Value:
Building Use: Construction Type: Occupancy Group:
Present Use: Proposed Used:
Description of Work:
New Addition Repair Alteration Demolition Revision Other:
Legal Description:
Attachment
Property Owner:
Phone:
Email:
City:
State:
Zip:
Contracting Co.:
Phone:
Email:
Company Address:
City:
State:
Zip:
Qualifier’s Name:
Owner-Builder:
License Number:
Architect/Engineer’s Name:
Phone:
Email:
Architect/Engineer’s Address:
City:
State:
Zip:
Bonding Company:
Bonding Company Address:
City:
State:
Zip:
Fee Simple Titleholder’s name (if other than owner):
Fee Simple Titleholder’s Address (If other than owner):
City:
State:
Zip:
Mortgage Lender’s Name:
Mortgage Lender’s Address:
City:
State:
Zip:
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, and AIR CONDITIONERS, etc.
OWNER’S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
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 COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
APPROVED BY: ____________________ Permit Officer Issue Date: _________________ Code in Effect: ________________
A jurisdiction may use a supplemental page requesting additional information and citing other conditions, please inquire.
Note: If any development work as described in FS 380.04 Sec. 2 a-g is to be performed, a development permit must be obtained prior
to the issuance of a building permit.
1.56
X___________________________________________________________
Signature of Property Owner or Agent
STATE OF
COUNTY OF
Sworn to (or aff
irmed) and subscribed before me this_______ day of
__________________________, 20_______ by
________________________________
(Type / Print Property Owner or Agent Name)
__________________________________________
NOTARY’S SIGNATURE as to Owner or Agent’s Signature
Notary Name ______________________________
(Print, Type or Stamp Notary’s Name)
Personally Known _____ or Produced Identification ______
Type of Identification Produced ___________________________________
3
1
2
4
Building Department
4501 N Ocean Drive
Lauderdale-By-The-Sea, FL 33308
954-640-4215
12/2018
Time Limits for Construction – NOTICE TO OWNER
Town Code Section 6-12 of the Town’s Code of Ordinances requires:
1. New construction – The construction of any new structure or new addition to an
existing structure to be completed and all construction material, equipment and
debris removed from the property within 18 months of the date of the issuance
of the first building permit.
2. Exterior repair and renovation – The exterior elements of any repair or
renovation to an existing structure which requires a building permit shall be
completed and all construction material, equipment and debris removed from
the property within 6 months of the issuance of the first building permit.
Failure to complete construction within the specified timeline will result in legal action by the
Town.
If there are extenuating circumstances that prohibit the property owner from completing the
construction within the deadline, the owner may seek an extension of time from the Town
Commission. An application for extension of time may be obtained from the Development
Services Department or Town clerk.
Owner’s Acknowledgement
I acknowledge that I have received and understand the Town’s code provisions regarding the
time period to complete construction projects.
Signature: ______________________________________ Date: ______________
Print Name: _____________________________________
Address of Property: _______________________________
AFTER RECORDING – RETURN TO:
PERMIT NUMBER:
NOTICE OF COMMENCEMENT
The undersigned hereby given notice that improvement will be made to certain real property, and in accordance with Chapter 713,
Florida Statues the following information is provided in the Notice of Commencement.
1.
DESCRIPTION OF PROPERTY (Legal description & street address, if available) TAX FOLIO NO.:
SUBDIVISION BLOCK TRACT LOT BLDG UNIT
2. GENERAL DESCRIPTION OF IMPROVEMENT:
3. OWNER INFORMATION: a. Name
b. Address c. Interest in property
d. Name and address of fee simple titleholder (if other than Owner)
4. CONTRACTOR’S NAME, ADDRESS AND PHONE NUMBER:
5. SURETY’S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT:
6. LENDER’S NAME, ADDRESS AND PHONE NUMBER:
7. Persons 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 AND PHONE NUMBER:
8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor’s Notice as provided in Section
713.13 (1) (b), Florida Statutes:
NAME, ADDRESS AND PHONE NUMBER:
9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified): , 20
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER 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 OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Signature of Owner or Print Name and Provide Signatory’s Title/Office
Owner’s Authorized Officer/Director/Partner/Manager
State of Florida
County of Broward
The foregoing instrument was acknowledged before me this day of , 20
By , as
(name of person) (type of authority,…e.g. officer, trustee, attorney in fact)
For . (name of party on behalf of whom instrument was executed)
Personally known or produced the following type of identification:
Notary
(Signature of Notary Public)
Under Penalties of perjury, I declare that I have read the foregoing and that the facts in it are true to the best of my knowledge and belief (Section 92.525, Florida
Statutes).
Signature(s) of Owner(s) or Owner(s)’ Authorized Officer/ Director / Partner/Manager who signed above:
By By
Rev .08-09-07 (S.Recording)
Building Department
4501 N Ocean Drive
Lauderdale-By-The-Sea, FL 33308
954-640-4215
12/2018
Impervious and Pervious Space Calculations
Permit #: _________________ Date: ______________
Owner: ________________________________________________________
Contractor: _____________________________________________________
Total Lot Area (SQ. FT) _____________________
Building Footprint Area _____________________ %________
Porch/Patios/Walkways/Slabs _____________________ %________
Driveway Area _____________________ %________
Pool/Patio Area _____________________ %________
Total Impervious Area _____________________%
Total Pervious Area _____________________%
I certify that all the foregoing information is accurate and that all work will be done in compliance with
the applicable laws, construction and zoning regulations.
Owner:________________________________ Date: ________________
Contractor: ____________________________ Date: ________________
THE TOWN RESERVES THE RIGHT TO REQUIRE THIS DOCUMENT TO BE SIGNED AND SEALED BY AN
ENGINEER OR ARCHITECT
Architect/Engineer: _________________________ Date: ____________ Seal
Building Department
4501 N Ocean Drive
Lauderdale-By-The-Sea, FL 33308
954-640-4215
12/2018
Residential Swimming Pool, Spa, and Hot Tub Safety Act Requirements
I (we) acknowledge that a new swimming pool, spa, or hot tub will be constructed and installed at
____________________________________________________________ and hereby affirm that one of the following methods
will be used to meet the requirements of Chapter 515, Florida Statutes and the Florida Building Code Section R4101.17.
Please initial which method will be used for your pool or spa.
_______ The pool will be equipped with an approved safety pool cover that complies with ASTM F1346-01
_______ A continuous one piece (child barrier) meeting the requirements of The Florida building Code Sections FBC Sections
454.2.17.1.13-15 will protect the pool perimeter. The plans shall show the fence location and method of attachment including
one end that shall be removable without the aid of tools.
________ A combination of non-dwelling walls and fences (screen enclosure, child fence, masonry walls, chain link fence, wood
fence, etc.) will protect the pool perimeter. The plans must specify the type and location of all non-dwelling walls.
_______ Any combination of protection which of protection which incorporates dwelling walls with openings directly into the
pool perimeter and all windows and doors will be equipped with exit alarms complying with FBC Section R4101.17.1.9
_______ Any combination of protection which incorporates dwelling walls with openings directly into the pool perimeter and
all doors will be equipped with a self-latching device with positive mechanical latching/locking installed 54”above the threshold.
If this option in selected, submitted plans must show all types and locations of all perimeter protection. The plans must also
show the location and type for each location.
In accordance with the Code a final inspection of the pool will not be approved without compliance with the Private Swimming
Pool Safety Requirements, and upon expiration of the permit, the pool shall be presumed to be unsafe.
I understand that not having one of the above installed will constitute a violation of Chapter 515 of the Florida Statutes and will
be considered as committing a misdemeanor of the second degree, punishable as provided in Section 755.082 or Section
755.083 of the Florida Statutes.
By signing this form, I/We (the homeowner and contractor) acknowledge having read and agree to comply with the Florida
Statutes and the Florida Building Code.
Owner: _______________________ Date: __________________________
Contractor: _____________________ Date: __________________________
Notary Signature: ____________________________ Date Commission Expires: _____________
Building Department
4501 N Ocean Drive
Lauderdale-By-The-Sea, FL 33308
954-640-4215
12/2018
Sec. 30-313. - General provisions.
(q) Swimming pools, pool decks, patios, hot tubs and spas; setbacks and enclosure required.
(1) No swimming pool, hot tub or spa shall be constructed within a front yard setback, unless
the lot is a corner lot. Swimming pools, hot tubs and spas shall have the following minimum
setback regulations:
a. All water bearing wall surfaces shall have a minimum five-foot setback from the property
lines.
b. All water bearing wall surfaces shall have a minimum five-foot setback from any public
right-of-way.
c. Notwithstanding any other regulation of this Code, fencing to enclose a swimming pool,
hot tub or spa is permitted in the front setback, but shall not obstruct the view within any
sight distance triangle.
d. Screen enclosures, pool decks, patios, porches and terraces:
1. Shall be permitted in the required side yard or rear yard only or in the front yard of
a corner lot with a pool located in the front yard, and shall be located at least two
and one-half feet from lot lines.
2. In addition, the location of screen enclosures, pool decks, patios, porches and
terraces shall not obstruct the view within any sight distance triangle and will need
to be located outside of any utility easement areas, unless the property owner
obtains consent from the applicable utility(s) to allow any of these structures in the
easement area.
(2) All swimming pools shall be enclosed by an open mesh screen enclosure or a fence or wall
a minimum of five feet in height of such design and material as will prevent unauthorized
access to the pool area. All screen doors and fence gates shall be equipped with a self-
locking mechanism.
(3) Swimming pools or spas on lots that directly abut a waterway or other water area shall not
require enclosure along such waterway or water area.
(r) Decks.
(1) Decks that abut a plot line that is a waterway may be allowed, but are not required, to extend
to the waterway.
(2) There can be a gap between the deck and the dock provided the spacing between the deck
and dock is properly secured.
(3) Decks need not be constructed to be flush with any dock or seawall area. However, any
portion of a deck located within five feet of the seawall cannot be constructed higher than
the seawall.
Town Code Sec. 30-313
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