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MORGAN COUNTY PLANNING AND DEVELOPMENT Post Office Box 1357 150 East Washington Street, Suite 200 Madison, Georgia 30650 (706) 342-4373 Office (706) 343-6455 Fax Swimming Pool Permit Application (ALL APPLICATIONS HAVE TO BE FILLED OUT COMPLETELY IN ORDER TO BE PROCESSED) Property Owners Information Property Owner’s Name: Cell phone#: Address: Home phone#: City: State: Zip Code: Email Address: Property Location Project Name: Jurisdiction: Property Address: City: State: Zip Code: Nearest Intersection or Address: Subdivision: Lot Pool Contractors Information Contractor’s Name: Cell phone Contractor’s Address: Office Fax City: State: Zip Code: Email: Occupational Tax Issuing County: Level 1A Certification#: Pool Company’s Name: Contractor’s Name: Cell phone Contractor’s Address: Office Fax City: State: Zip Code: Email: Occupational Tax Issuing County: Level 1A Certification#: State Certification Expiration date: Electrical Contractors Information Electrical Contractors will need to purchase an electrical permit prior to the pool bonding inspection ---PAGE BREAK--- Type of Pool Permit Requested: (Check all that apply) Residential (Private) Indoor In-ground pool Portable Spa Portable Hot Tub Commercial (Public) Outdoor Above-ground pool Non Portable Spa Non Portable Hot Tub Total cost of construction: Pool dimensions (Foot print): Pool/Spa heated: Yes No Lighting located around pool: Yes No Is pool located with 200 feet of any State Waters? Yes No Pool Deck Material: Wood Concrete Brick Stone Fence Type: - (Four foot fence with self closing gate(s) Fence must be installed prior to filling pool. Wood Chain-link Metal Other - Will home act as one side of the fence? Yes No Pool Information: (Please fill in all pertinent information) All information is true and accurate to the best of my knowledge. Applicant