Pool Permit Application

Code Enforcement Department

Work Information

TO THE BOARD OF COMMISSIONERS OF SPRINGFIELD TOWNSHIP:
I (We) hereby apply for a permit to construct the following work (give exact location)

Street Address

Dimensions of Lot

Pool Type

Fee Base

Zero

Distance from Water's Edge to the Following Property Lines:

Left Side

Right Side

Front Line

Rear Line

Give Definite Particulars as to Work Proposed and Materials Used

Estimated Cost (All Trades) *

Permit Fee *

Units

Estimated Cost (All Trades) *

Permit Fee *

Units

Permit Fee

Date Work will Commence

Prelim Fee

Extra Fee

Lot Sketch

Applicant must draw sketch of house and any outbuildings on the lot, existing or to be erected, and indicated dimensions from each building to each property line and between buildings.  Applicant may attach an electronic copy of the lot sketch in lieu of drawing the sketch below.

Upload Lot Sketch

Upload

Rear Property Line

Notes

Parties Involved

Not withstanding the issuance of this permit, all provisions of the Building and Zoning Codes will be complied with, whether specified herein or not.

Owner Name *

Owner Phone Number *

Owner Address *

City

State *

Zip

Architect Name *

Architect Phone Number *

Architect Address *

City *

State *

Zip *

Contractor Name *

Contractor Phone Number *

Contractor Address *

City *

State *

Zip *

Applicant Name *

Applicant Phone Number *

Applicant Email Address *

Applicant Address *

City *

State *

Zip *

Use the Drawing Tool to Sign Your Name in the Box Below

Applicant Signature

Application Date *

Payment Information

Payment of fees for this application will be requested via email once your submission has been reviewed.  Please verify that emails from donotreply@springfielddel.co are not sent to your spam/junk mail folder.  The email will contain a link to this form allowing you to make a secure payment by credit card.  The amount shown below is an estimated amount and may be adjusted once your submission is reviewed.

Payment Amount Due

Pool Permit Application

Code Enforcement Department

Work Information

Lot Sketch

Parties Involved

Payment Information

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