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Pool Permit Application Packet SWIMMING POOL PERMIT APPLICATION CITY OF LAVERGNE CODES DEPARTMENT 5175 MURFREESBORO RD LAVERGNE, TN 37086 PHONE (615) 213-2624 FAX (615) 213-8692 DATE: ___________________ PERMIT #_____________________ ABOVE GROUND OR IN GROUND: __________________________________ NAME: _________________________________PHONE:___________________ EMAIL____________________________________________________________ ADD @lavergnetn.gov to your SPAM “allow list” ADDRESS_________________________________________________________ CITY, STATE, ZIP: _________________________________________________ SEWER _______ SEPTIC_________ HOMEOWNER IF YOU ARE PULLING A SELF PERMIT INDICATE “SELF” AS CONTRACTOR: NAME: ______________________________PHONE:________________ ADDRESS____________________________________________________ CITY, STATE, ZIP: ____________________________________________ PERMIT FEE $50.00 AREA MUST BE MARKED WITH STAKES OR PAINT FOR PREINSPECTION. IF NOT MARKED PERMIT WILL NOT BE ISSUED Fences are required around pools (See swimming pool barrier agreement). Plot plans MUST be submitted with this form stating distances from all property lines and home. Pools shall be 10 (TEN) feet from all property lines. Pools cannot be located within a drainage way. Receptacle outlets on the house or property shall be located not less than 10 feet from the inside walls of pools. Receptacles that provide power for water pump motors or other loads directly related to the circulation and sanitation system shall be permitted to be located between 5 and 10 feet from the inside walls of pools and outdoor spas and hot tubs, and where so located, shall be single and of the locking and grounding type and shall be protected by ground-fault circuit interrupters. Indicate on your plot plan submittal where you are planning to put your pool (hand drawn). BARRIER AGREEMENT IS REQUIRED: See Attached. INFORMATION AND DRAWINGS SUBMITTED WITH THIS FORM ARE TAKEN TO BE THE CORRECT STATED INFORMATION AND BY SIGNING THIS FORM YOU ARE STATING THEY ARE CORRECT. IF FOUND TO BE INCORRECT UPON THE FINAL INSPECTION THE CITY OF LAVERGNE CAN REQUIRE THE CORRECTION OF THE PROBLEM BY SUCH MEANS AS DEEMED NECESSARY. SIGNATURE OF APPLICANT:___________________________________DATE__________________ Site Preapproval________________________________________________Date____________________ APPROVAL:__________________________________________________DATE___________________ DENIED: ____________________________________________________DATE___________________ SWIMMING POOL BARRIER AGREEMENT CITY OF LAVERGNE CODES DEPARTMENT 5175 MURFREESBORO RD LAVERGNE, TN 37086 PHONE (615) 213-2624 FAX (615) 213-8692 Address:________________________________________________________________ I,_________________________, understand that any structure intended for swimming or recreation bathing that contains water over 24 inches deep requires a fence, wall, building wall or combination thereof which completely surrounds, and obstructs access to, the swimming pool. An above ground pool exterior wall may act as the barrier if the top of the wall is 4-feet from the finished grade all the way around the pool. A 4-foot high orange temporary fence may be used during construction for a period of no more than 60 days. INITIAL EACH BLANK OF AGREEMENT. __________I agree that a barrier shall be installed prior to placing over 24 inches of water in the structure and prior to any use of the pool. __________The code prohibits the use of the pool until the 4-foot barrier is in place. I understand that the barrier is permanent during construction and after the final inspection is performed. __________If the house is a part of the barrier, I understand an alarm must be installed on all doors directly accessing the pool and must be heard by the inspector during the final inspection. __________State law requires a pool alarm on all residential swimming pools containing 36 inches or more water. __________ Alarm is to be installed prior to final inspection. __________I understand it is solely my responsibility as permit holder, to comply with the above listed requirements and to request a final inspection from The City of La Vergne Building Codes Department. Failure to have the barrier installed is in violation of the 2018 International Swimming Pool and Spa Code adopted by the City of La Vergne. Failure to comply may result in citation to City of La Vergne Court for violating the provisions of the T.C.A. and the currently adopted code. Property Owner ___________________________ Date_______________________ Public Chapter No. 850 PUBLIC ACTS, 2010 1 PUBLIC CHAPTER NO. 850 SENATE BILL NO. 3019 By Burks, Marrero, Henry, Ford, Haynes, Barnes, Berke, Jackson, Herron, Finney, Kyle, Stewart, Tate, Harper Substituted for: House Bill No. 3156 By Curtiss, Moore, Hardaway, Cooper, Gilmore AN ACT to amend Tennessee Code Annotated, Title 47 and Title 68, Chapter 14, relative to swimming pools. BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF TENNESSEE: SECTION 1. Tennessee Code Annotated, Title 68, Chapter 14, is amended by adding the following as a new part thereto: § 68-14-801. This part shall be known and may be cited as "Katie Beth's Law". § 68-14-802. For purposes of this part, unless the context otherwise requires: (1) "Pool alarm" means a device which emits a sound of at least fifty (50) decibels when a person or an object weighing fifteen (15) pounds or more enters the water in a swimming pool, but shall not include, swimming protection alarm devices designed for individual use, such as an alarm attached to a child that sounds when the child exceeds a certain distance or becomes submerged in water; (2) "Residential dwelling" means a one-family or two-family dwelling structure; and (3) "Swimming pool" means any structure that is intended for swimming or recreational bathing and contains water over thirty-six inches (36") deep, including, but not limited to, in-ground, aboveground, and on-ground swimming pools; hot tubs; and nonportable spas. § 68-14-803. Each person, enterprise, agency or entity that sells swimming pools to the general public shall post in a prominent place a sign, at least six inches (6") high and fourteen inches (14") wide, that reads as follows: STATE LAW REQUIRES A POOL ALARM BE INSTALLED. § 68-14-804. Each person, enterprise, agency or entity that purchases or acquires a swimming pool to be installed after the effective date of this act shall install a pool alarm before using or making available for use such swimming pool. Public Chapter No. 850 PUBLIC ACTS, 2010 2 § 68-14-805. (a) When an electrical inspection is required for the installation of a swimming pool, the electrical inspector shall not give final approval for the electrical wiring unless a properly functioning swimming pool alarm has been installed. (b)(1) No local government shall issue a building permit for the construction or substantial alteration of a swimming pool located at a residential dwelling unless the project calls for a functioning swimming pool alarm to be installed prior to the completion of the construction project. (2) It is an offense for any person, firm, association or corporation to knowingly accept a building permit for a swimming pool located at a residential dwelling unless a functioning swimming pool alarm will be installed prior to the completion of the construction project. § 68-14-806. A violation of this part is a Class C misdemeanor, punishable by a fine only not to exceed one hundred dollars ($100). Second and subsequent offenses shall be punishable by a fine only of not more than five hundred dollars ($500). § 68-14-807. The provisions of this part shall not apply to public swimming pools or multi-family residential housing swimming pools, as defined in § 68-14-302. SECTION 2. This act shall take effect January 1, 2011, the public welfare requiring it. PASSED: April 22, 2010 APPROVED this 30th day of April 2010 Public Chapter No. 850 PUBLIC ACTS, 2010 3