HomeMy WebLinkAboutbrynmawrhealthdeptMission: Ron DeSantis
To protect, promote & improve the health Governor
of all people in Florida through integrated —
state, county & community efforts. Scott A. Rivkees, MD
HF A Surgeon General ant! Secretary
Vision: To be the Heafthiest State in the Nation
FLORIDA DEPARTMENT OF HEALTH - ST. LUCIE COUNTY
PUBLIC SWIMMING POOL PROGRAM
RECEIPT OF APPLICATION
Project Location
(Street Address, City, Zip Code)
Bryn Mawr — 5061 N A1A, Fort Pierce, 34949
Applicant Information
(Owner/Agent Name, Contact #)
Elliott Merrill Property Management-- 772-569-9853
This is to acknowledge receipt of an application for a public swimming pool.
You have met the preliminary submittal requirements of Chapter 514.030), Florida Statutes (FS), and may
file an application for a public pool construction/modification permit with your local building authority. The
department will review your application for completeness and notify you and the focal building authority of any
critical health and safety code inconsistencies found in your proposal that must be addressed before a new or
revised operating permit can be issued_ The Florida Department of Health. FDOH may request additional
information within 30 days.
Request Type
❑ New Construction ❑ Existing Modification ® Other: (Describe) RESURFACING
Documentation Provided
❑ DOH Form 4159 ❑ Pool Plans and Specs. ❑ Letter of Authorization ® Other: NOTICE OF
RESURFACING OF PUBLIC SWIMMING POOL FORM
FINAL INSPECTION REQUIREMENTS
Please provide any changes to the application or plans submitted prior to requesting an inspection. After
construction is completed and prior to opening, FDOH must conduct an initial inspection, When requesting your
inspection the following documents may be required:
• A set of plans and specifications as approved for construction by the local building authority.
• A copy of the final inspection from the local building authority as defined in Section 553.71, FS.
• The annual operating permit fee.
FDOH PROCESSING INFORMATION
Date Received: Received By:
04/30/2020 Joanne Evans
Florida Department of Health -St Lucie County
Division of Disease Control and Health Protection
Bureau of Environmental Health
Location: 3855 S US Highwayl, Fort Pierce, FL 34982
Mailing: 5158 NW Milner Drive, Port St. Lucie, FL 34983
Phone 772-873-4931
Fax 772-595-1306
FloridaHealth.gov
Accredited Health Department
Public Health Accreditation Board