HomeMy WebLinkAbout19070168 Applicationcxa,nwe.
CITY OF CARMEL
- OFFICE USR ONLY i � p�
PERMIT IF q0-7bt `/ E'D
SWIMMING POOL APPLICATION
FOR RESIDENTIAL AND COMMERCIAL PROJECTS
Please eompieta form and am all to r'r lss rerr g £!% 4 as an attachment.
If you have any questions, please call Building & Gods Services at (817) 671-2444.
BUILDER OF
NAM G' y
_ PHONE
RECORD,
C 7
STREET
ADDRESS,
-
EMAIL BESTME'THOD ,.
�j.Q ','I r!"4 PHONE C. EMAIL
A6DaEaslrr ,.` 1 OF CONTACT
PROPERTY
I PHO
07
OWNER-
-.
STREET •-
ADDRESS"
..
cl
PROJECT
PARCEL
LOCATION
NUMBER
LOT _... _ - SUBOAnSKNi
NUMBER
SIREIM ., C
ADDRESS,,..lam 1989'
WE$BUBOIWF,aOFI tIAVS AItOYEOWNEFIS D YES NO
AssOOIArION?
PROJECTCO5Y
OF yyy TOTAL SOUARE
RESIOENTKLL rj COMMERCIAL CDNSTRUC " $ FOOTABE
DETAILS
�lo�
(EXCLUDING 1ANO) (INCLUDING DECK
SUMP 0 YES POOL cows YES NO AUYO FILTER yes Lj No
PUMP
SYSTEM Irl YES. NO PooI.NEATFO YES N NO HEATED OAS 13 ELECTRIC
iSANYPARTOFPRDPERTY
" SLIDE. 17J YES WITHIN SPECIAL FLOOD Ll YES K NO
Pool- �
1 `-�^' HAZARD AREA?
PgA jUILDERSWWILL BE RESPONSIBLE FOR: Notfflcalwan to powtownem thatthase hispeetkns Are is be mads, and also Will 41413 the YPrlaw Dallas wf[cable.
Pool builders shall wotdinsta will, owners Iqr Ii Irwspectar's ACre%in Iia# on days fre4wtklns are sCWvfad.
Undar the CarmolUnited Development Ordinneae,. SecRwr 1.r"s. Lala peesmay be assasstdwr Atftsed Ospeodons,lacloWing oacupaxy Winder W,
This. Perm" IIA VOW way a cpnsun"tio comamocate wtthin IM days a(D* dtM of issuance W thea perms aro must to complMad, he" eSt
GertWini of occupancy issued, wNW 10 monaws of the date of Isauence. CM** I Structure Pena to we subleat to she Slate of koMwts (,Mutat
Admini4iradraRulsa (GAR $76 MIC 12) regard" eapirahon RAW "amen For Wormilag and campNtlnB crony roo,"U i.
I, the urMer*jr", Allies that Any Construct", reconsintaeorw, enlargement„ ratodAtkn, atailoraWn at a: sftmasa, or any "roe in ma osu of land at seuclures
requested by No AppMratian wid Comply with and wnlmm to as apokcahlclaws of doe State of Indiana and the Carmel Unified 0eYeiap(hent Ordinanco (Z-5:5- t7) and
amoncinleais, adopted under auttwwdy of 1.C. 364 at seq. (Clensfal As.SemWyof the State of iadit ns, and aft Acts amendatory "iereto. t Itsttwzr coraly, ft only kaaheo,
bath, and I m drtmtam corwNw(Aed kr laa sarwary sewwr- I banter owbfy that the nonshint n grill rot be used or ocupiod until a Certificate of Occupancyims been
issued by the t raritntof Commomly Sw*es, Carmat, Indiana -
I saw cer", under the penalties of Peryuy (aidwns Code 36442.1) Ilial W of the ktftrMfion, I haws provided In this Application and ether dOCUMN Wtkn
Is true and Accurate td Ow heat of my knowledge and b~, a* that I have sot knowingly, or 1Medtiorway provided oromated any information that would
tend to hide, obtaure, w otherwise misised Ahs Dept. of Commurft Sorvkea regarding Uw truth of the matters addraaKtl.
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