DOCUMENTS REQUIRED TO MAKE APPLICATION FOR A POOL OR ENCLOSURE PERMIT

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DOCUMENTS REQUIRED TO MAKE APPLICATION FOR A POOL OR ENCLOSURE PERMIT DUE TO TIME INVOLVED TO PROCESS PAPERWORK NO APPLICATION OR PERMIT WILL BE PROCESSED AFTER 4:30 P.M. 1. Parcel identification printout (property card) showing legal description of property from property appraiser s office or at www.suwanneepa.com, if in the name of the previous owner, then you MUST (1) provide a copy of the recorded deed proving your ownership of the property, OR (2) have a consent form signed by the previous owner. 2. Survey of property prepared by a land surveyor or engineer registered in Florida. All property stakes shall be in place at the time of application. 3. If your property is LESS than 5 acres, NOT in a recorded subdivision, NOT in a residential zoning district then you will need a deed showing that property was a lot of record prior to September 9, 1991. 4. Application completed. 5. Site plan showing location of residence, septic tank and well and distance from the front, sides and rear of property. (A-1 district must meet minimum setback requirements of 30 ft. from front property line {any property line fronting a roadway} and 15 ft. from sides and rear property lines.) 6. Must provide two (2) sets of plans sealed by an Architect or Engineer licensed in Florida. Licensed Building Contractor or Owner/Builder must secure permit. 7. Recorded Notice of Commencement. 8. NOTE!!! If your property is in a special flood hazard area (SFHA), according to the Federal Emergency Management Agency (FEMA) Flood Insurance Rate Maps (FIRM), an Elevation Certificate (EC) prepared by a Registered Surveyor or Professional Engineer certifying that the bottom of the lowest horizontal structural member of the lowest floor is at least one foot above the base flood elevation is required upon placement of the lowest floor. If you property is located in the floodway of the SFHA, you will be required to obtain both an Environmental Resource Permit (ERP) from the Suwannee River Water Management District and a Zero Rise Certification from a Registered Professional Engineer before issuance of the building permit, in addition to the EC. The ERP will also be required if your property fronts the river, even if the building site is located out of the floodway. 12. There will be a $35.00 reinspection fee charged if scheduled inspection is not ready at the time requested. Subsequent reinspection fees will be $50.00 for additional inspections. DUE TO POSSIBLE DUPLICATION OF NAME, AND TIME INVOLVED IN LOOKING FOR PERMIT NUMBER, YOU MUST PROVIDE OFFICE PERSONNEL WITH PERMIT NUMBER WHEN CALLING FOR INSPECTION. 13. A change of mind after securing permit will result in an additional charge of $25.00 administrative costs for reprocessing paperwork. BUILDING PERMIT FEE BASED ON CONTRACT PRICE - $100 FOR THE FIRST $1,000 OF CONTRACT PRICE PLUS $3.OO PER $1,000 OR ANY PORTION THEREOF. Minimum $100.00 STATE SURCHARGE FEE 3% OF PERMIT FEE Minimum $4.00 THESE INSTRUCTIONS ARE FOR THE IDEAL CASE, DEPENDING ON INDIVIDUAL NEED CIRCUMSTANCES MAY VARY.

POOL OR POOL ENCLOSURE PERMIT APPLICATION 224 PINE AVENUE, LIVE OAK, FL 32064 386-364-3407 FAX 386-364-3754 APPLICANT: PHONE NO. CURRENT MAILING ADDRESS (STREET/CITY/STATE/ZIP) PROPERTY OWNER NAME: PROPERTY ADDRESS (STREET/CITY/STATE/ZIP) LEGAL DESCRIPTION: (as found on the parcel description printout) Sec. Twp. S Rge. E Tax Parcel No. Lot Subdivision Size Acres Number of Other Dwellings: HOW DO YOU GET THERE FROM THIS OFFICE: [You MUST give road numbers and EXACT directions] Job Description: Use: Swimming Pool: Type Pool Size: Contract Price: Enclosure: Contract Price: Contractor Name: Lic#: Contact Phone #: Electrical Contractor Lic# Contact Phone # POWER COMPANY: SVEC: FP&L: PROGRESS ENERGY: 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 and zoning in Suwannee County. I certify that the entire foregoing information and site plan is accurate. I understand that I MUST supply the office personnel with the permit number when calling for inspections DATE: Signature of Applicant/Agent/Property Owner THIS APPLICATION WILL EXPIRE IN 90 DAYS UNLESS A PERMIT IS ISSUED.

I UNDERSTAND THAT ACCURATE MEASUREMENTS AND NORTH, SOUTH, EAST, WEST DIRECTIONS ARE INTEGRAL PARTS OF MY SITE PLAN WHICH WILL BE USED TO DETERMINE SETBACKS FOR ZONING COMPLIANCE. I ALSO UNDERSTAND THAT IF INSUFFICIENT OR INCORRECT INFORMATION IS SUPPLIED IT WILL CREATE A DELAY IN THE ISSUANCE OF A BUILDING PERMIT. JOHN DOE EXAMPLE SITE PLAN FORM NORTH (Measurements from 54 property lines, etc.) FT 200 FT 187 FT. DWELLING D R I V E W 35 A FT Y Name of Road ITEMS THAT MUST BE ON THE FORM 1) STREET & ROAD NUMBERS (EXAMPLE - 56TH STREET) 2) ALL RESIDENCES, BARNS, & ALL OTHER BUILDINGS & SHEDS 3) DRIVEWAYS & ENTRANCEWAYS TO PROPERTY 4) MEASUREMENTS FROM ALL STRUCTURES, WELL, POWER POLE & SEPTIC TANK FROM PROPERTY LINE 5) MUST HAVE NORTH, SOUTH, EAST & WEST LOCATION ON PLAN 6) SETBACKS & DIRECTION FROM ROADWAY 7) SITE PLAN MUST BE COMPLETED, SIGNED AND DATED PRIOR TO BRINGING IT BACK TO THE OFFICE. 8) ALL DWELLINGS ON SAID PARCEL MUST BE SHOWN ON SITE PLAN AND DISTANCE BETWEEN EACH DWELLING INDICATED. PLAN DRAWN BY: SIGNATURE JOHN DOE 01/01/00 DATE

I UNDERSTAND THAT ACCURATE MEASUREMENTS AND NORTH, SOUTH, EAST, WEST DIRECTIONS ARE INTEGRAL PARTS OF MY SITE PLAN WHICH WILL BE USED TO DETERMINE SETBACKS FOR ZONING COMPLIANCE. I ALSO UNDERSTAND THAT IF INSUFFICIENT OR INCORRECT INFORMATION IS SUPPLIED IT WILL CREATE A DELAY IN THE ISSUANCE OF A BUILDING PERMIT. NORTH SITE PLAN FORM Do Site Plan on survey or GIS map obtain from Property Appraiser Website. www.suwaneepa.com Identify access roadway to dwelling. ITEMS THAT MUST BE ON THE FORM 1) STREET & ROAD NUMBERS (EXAMPLE - 56TH STREET) 2) ALL RESIDENCES, BARNS, & ALL OTHER BUILDINGS & SHEDS 3) DRIVEWAYS & ENTRANCEWAYS TO PROPERTY 4) MEASUREMENTS FROM ALL STRUCTURES & POWER POLE FROM PROPERTY LINE 5) MUST HAVE NORTH, SOUTH, EAST & WEST LOCATION ON PLAN 6) SITE PLAN MUST BE COMPLETED, SIGNED & DATED PRIOR TO BRINGING IT BACK TO THE OFFICE. 7) ALL DWELLINGS ON SAID PARCEL MUST BE SHOWN ON SITE PLAN AND DISTANCE BETWEEN EACH DWELLING INDICATED. PLAN DRAWN BY: SIGNATURE DATE

224 Pine Ave., Live Oak, FL 32064 Phone 386-364-3407 CONTRACTORS ADDENDUM TO BUILDING PERMIT Building Permit No. Date: Owner(s) Name: Sec. Twp. Rge. Tax Parcel #: Lot #: Block Subdivision I hereby certify that the following subcontractors will be used on the above referenced job. CONTRACTOR LICENSE NO. ELECTRICAL: Signature Subcontractors must sign in office before commencing work on the job. If signed outside of building department office signature must be notarized. Contractor & License #

NOTICE OF COMMENCEMENT STATE OF FLORIDA COUNTY OF SUWANNEE 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. 1. Description of Property: 2. General Description of Improvement: 3. Owner Information: a. Name and Address: b. Interest in Property: c. Name and Address of Fee Simple Titleholder (if other than owner): 4. Contractor (name and address): 5. Surety: a. Name and Address: b. Amount of Bond: 6. Lender (name and address): 7. Persons within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Florida Statutes 713.13(1) (a) (7): 8. In addition to himself, owner designates: to receive a copy of the Lenoir s Notice as provided in Florida Statutes 713.13(1) (b). 9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date is specified): Type Owner Name: Type Owner Name: Sworn to and subscribed before me this day of, 20. Personally Known Produced ID Did/Did Not Take an Oath Type Notary s Name Notary Public, State of Florida Commission Expiry & Number:

Residential Swimming Pool Spa and Hot Tub Safety Act Requirement 224 PINE AVENUE, LIVE OAK FL 32064 386/364-3407 or 386/208-1606 Permit #: I, License # 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 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 Pool, Spas and Hot Tubs). All door 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 doors providing direct access from the home to the pool will be equipped with a self-closing; self-catching device with a release mechanism placed no lower than 54 above the floor or deck. I understand that not having one of the above installed at the time of final inspection will constitute a violation of Florida Statutes, Chapter 515 and will be considered as committing a misdemeanor of the second degree, punishable as provided in Florida Statutes, Section 775.082 or Section 775.083. Contractor s Signature Owner s Name (Please Printed) & Signature