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The Sands on the Ocean Condo SPA POOL DOH Initial Permit & Final Paperwork 08.31.2020
Ron Dessau. Mission: Gmemor To prated, oronete &improve the heats qY of all protons in Fbdda through integrated Va� .y Scott A. Rlvkees, MO slate, county& community offods. HEALTH State Surgeon General Vision: To be the Healthiest state N the Nation INITIAL AUTHORIZATION FOR USE OF PUBLIC SWIMMING POOL Facility Name: I The Sands on the Ocean Condominium Spa County: St Lucie Facility Address: 1 3100 N Al A, Fort Pierce, FL 34949 Building De artment Permit #: DOH Permit # 56-60-2024427 This is the initial authorization to allow use of the above referenced facility, pending the County Health Department issuance of the first annual operating permit, and: This initial authorization expires 30 days from the date of issuance noted below. Use is subject to the following operational conditions: ®No Diving ®Daylight Use Only PAY ALL PERMIT FEES AS REQUIRED BY THE DOH COUNTY HEALTH DEPARTMENT Contact the St Lucie County Health Department within 30 days at (772) 873-4927 to obtain an annual Pool operation and water chemistry must conform to Florida Administrative Code 64E-9. This Initial authorization is based on Florida Statutes s.514.031, the DH1350 Inspection Report, and foal passage of all applicable building inspections. MarkZ@bst Environmental Consultant Bureau of Environmental Health, Water Programs Date: 08/26/2020 Florida Department of Health Division of Dsease Control&Haab Prottecypn• Bureau of Environmental Health Accredited Health Department 400 W Robinson St, Ste. S827, Orlando, FL 32807 Public Health Accreditation Board PHONE: 850 274-3362 • FAX: 4078r7-7328 floridaNcanh.gov For Department Use Only Fee Received $ 1550'" Date 1 1 Check# 2113 From Application Type: (check box, see Instructions on back) [/Initial Permit [ ] Modification Operating Permit # or%a60-'a[Ooifl4 a4 [ j Transfer, change of owner or name [ ]Renewal (S �� 7 STATE OF FL R A DEPARTMENT OF HEALTH APPLICATION FOR A SWIMMING POOL /nJOPERATING PERMIT 1. Project/FactiilyName: �NLCS tea, tlnP 0(,e/an/ 1A101Oµrmy;yw..County:s Vtil2.- AddressofPcol: 3100 A/ I Ghwa.1AZ A City: r fr P; afcP Zip. 3Y9y4 N/ r oil Mailing Address: S/.iy✓tc City; Slate: _Zip: 3. Building Dept. E-mail Atldress !� IP - Q17-4.SS3 Phone Number 4. Design Engineer/Architect Name: M3_1� � rN G LNr,Jc Phone Number. 7i2-57aci-00157, E-mail: 5. Pool Water Source (Name of Public Water System): -SE LJu' a t.r71�N R Tbtlrft� 6. Lighting (check one): %d' No Night Swimming fo Outdoor. Threefootcandles erhea aand10 waft per square feet ofpool urfacearea underwater ( ) Intlacr. Ten root candles overhead end BJi 0 wa0 per square foot of pool surface area underwater 7..Psool Volume in Gallons: Main Pool Spa P001 Other 6. PXII Bathing Load: 1S Number & Type of Dwelling Units Served: 9. P�y i dl Dimensions: Wldth:,10 Length; /o Area:77xyJ /I Perimeter: 3 /. S' Depth: Max.�Mn._ 10. Water Treatment Equipment Manufacturer and ModeCV�, Part CS_?% j`/YC (A)Reclrculati/on Pump: Sper, AWSS Flow `�u GPM AtA2�0 TDH HP_/_'1!_�- (B) Filler. 'fif w AA Lr13o �� (( Area:Sq. FL Flow Capacity" GPM (C)Disinfection Equipment: -S �.✓.✓Qi 7.T�I'rl.i Capacity .So (GPD)or(PPD) (SecondaryDisinfecaonif Applicable): jt f .tr �_'v'�^ `fi T 4j(_L_L= (D) pHAdjustmant Feeder. S�IoNAN,�fN t-J' %�M 2—Capacity / IGPD) (E)Test Kit: Z— I CQCbSC 11. Other Equipment Details: DH 4159. 9/2015, Rule 64E-9.001(3). F.A.C. Page 1 of 2 CERTIFICATION OF OWNER TheITEetshhes ofCt,oloGVIMifrt Flond1altw.hueby BpResbaenkw1AMhe FeNdd in Ulia eplY Core. froI.efte.h.iT Ne repWvmenu el ClnPlm A: of the FlwiEo SNwbs(F5.1. vtE wanly 6GEAaIIM1B Fbd9d MrNnie4aliae LBCOJntl malnlein Ihv mgbal pvmvuctienapPm+ad Imder Ne ilorids 6UA5q Cedsbflhe MlsdclMal budtlNfl depalMen'. Tb+s agrRmMl Tplke! FGBMIB B Eiily /BNN BI Na InlarTellM /BgaNttN pBH PMnlian On We menllJy/BpmllBmt lu/nknpB By IM tlBpaNntlm B/ an BIM1e/ d.p..rret, by WEepB� vrtl antlwnen ReuMIM aYNnirsienMMe conplaW lmmlB Pa dppropiak �uuMYItBBIUI sigB!c�l� Temp �.i%i �� f TAv: /r/N ,ho:w Mal II'^^rerryuGl Briel lee Omar. auwli>WtNBB4en+mn Owia THIS 1OepaNn OROOHM1SE OANpL�Y'.IXp108k epPT,dl NumF,eriar �9�n�a Wy CARTINGATION OF INVECTION Invrebycendy Iltat asmspe'rofIhk Pool 111a hvm made the, Nelarepaeg NlpmKvb^ is CorrectW Ine lot. 0 myhnhNef and �]y�--mf.11lsre mantle-nM+aloFefdM.g MPItlIMQra*la<NOjecl to Ne pralieio'K aline fbddv MnNrss'iSYe CCdv. •Sgrew oo4 rrgnaeo.ft lueds'." wle Pnnl NarM 1 IC...... EHD M Intlmalvnr Before aobmlidng applkepvn w DOH: For InhUl POMIL Compels me rfell't MPMalivn mH mvner BamIRd9Pn.IMWdU fttei,nel and ono MpY CI .1 Corr ruled form, a ypVPlwni'lUE4on g'ans8spvCSWbe 6ubn+llfad to 0. b,,d�, en'(s¢orot;,,Oco cro,,.n This. IF or jPG onairnoln¢Wnpere accaplOM1by aM Iheeq+PPmb (tt. TM opBnlip prrrvr urm unlll a <APY of Ina feel oulldnp tlupv:mSl+nOpiCLen Is rBcelwd. For MPdlncall9n: En;m einun9 operPUnp perms numher.tornpow IIGmF t a, nek praposev ar mmpkletl Ger�9M m Y+e a9FFPpnO:e 6eclbM. eM wmplvla Ne JNner Mrlf.YdaO+. MCInM 9 eWVPrIM cmIRr11c4P^ pk^s b aaCeB W ba %b+liY.N. IP Na bYAWp tleMr4neM (eloaranl¢ CaCy 16aUePIaY1vL Tni6 orylie0110n ¢NIno10B wnIINe10 unu10 mPY vl Na Ln4 buildlnB rlvPvrlmenl nspasm isrn-el.etl. Fer Traveler: Eoly'ensUnB oMr�Un9pvrmi'.f.orotwtl'W it q.I¢nor'. Ines Me NYAKT+^e-,o,ee¢ne^, sad no,.., ra.,pee, rurhM. rmaenPafttheem IdOg PIMA R9Yired la'➢V00Y0r parrNl AKOY¢dduG IP Bna+rg[a(PWMraN> F9rr RB..A ENe'efKf tl ^peraling MTN e,,,. ¢Grn'AaeilaTs r 9nd 1, aM NTplem 92 wmer lfN lh.e T+vry la an amwal oMr+aM Parma Iro verged rm •mry/e1. P p 2.12 OHar5fl.9QD v. Pae aeER WIIflI. FAC. DOH Permit No.��--(nn—nC-7`t..�� County��,bGl� Pool Owner/Operator Verification of Entrapment Safety Features 1. Name of Facility Pool: S�'at' R5 cW OCPe4AJ Li, PPS 2. Street Address: 3 COO M . A-!,t rf , P,ercc R . City: frt, Y,r�cL Zip: Facility 3. Owners Name: 4.Owners Phone: +N-41-9853 Email: <er}w�21(im 5. Suction Outlet Drain Cover(s) as required by section 514.0315(1), FS: Make &Model Number: /it%4'fYCC✓AN �my0 — y7A rV (You may use additional sheets is�has morel an one device or system.) Installation Date: J, I / 2d FL Approved Flow (GPM): i5 . Life Years: 6. Type of Safety Device installed as required by section 514.0315(2), FS: (Check one) [ ] a. Safety Vacuum Release System Make & Model Number: (Use additional sheets if facility haas more than one device or system.) [ ] b. Suction Limiting Vent System wrramper-Resistant Atmospheric Opening [ ] c. Automatic Pump Shut-off System Make & Model Number: (Use additional sheets dreality has more than one device or system.) [ ] d. Dual Drains (must be on the same drain line & 36" apart on center) [ ] a. Drain Disablement (requires a construction or modification pmmit) LJ'. Gravity Drain ge ith Collector Tanktregwrea a concoction or modification perms) Installation Date: d 7 a 0 Licensed pool contractor that installed the devicelsystem: (Installation by a FL licamed pool contractor is a requirement of s. 514.0315(2), Florida statutes) Name: ((p4A?I Phone Number: 771 - 5& 2- 30(0-7 License Number. C?PC 1Y571c,7 D E-mail: Ga r4.d r1 �ysi�Om©�S�r'c, coed 7. Owner's commitment to have all safety device operation & maintenance manuals on site and readily available, and to conduct routine testing of the devicelsystem in accordance with the manufacturer's recommendalliSor in accordance with state code testing requirements: Sao Ro Date DH 4157, 92015, Rule 64E.9.008(10)(c)2. CERTIFICATION OF COMPLIANCE ., Contents: I Parr Number. 640-472X V V1 Dciwnprion: Square Grate Size 12°X12n \� Open Area: 62.41D' �rr ARM C is fps: 292 Floor Flow Rate: 356 GPM VGB Wall Flow Rare 280 GPM 2006 Date of Manufacture: Q3022020 # This product has been tested to ANSI/ASME 112.198-2007 (addendum 8a-2008) per §1404 of the Virginia Graham Baker (VGB 2008) Pool and Spa Safety Act. Certified by: Underwriters Laboratories, Inc., 2929 E. Imperial Highway, Suite 100, Brea, CA 92821-6729 This product is certified to comply with §1404 of the Virginia Graham Baker (VGB 2008) Pool and Spa Safely Act. A copy of the test results for the above may be found at www.waterwayplaslics.mm orgo to www.0Icon, . This pmdua is manufactured by Waterway Plastics, Oxnard, CA 93030 modem mmu Unit East slaveis Read, Oxnard, CA 93n30. Ph.(805) 981 0262. Fax 1805) 981-9403 „�,,, wvw.watmwayplani¢.on, - walawayewatenvayd"ti¢to. einnm.omv Planning & Development Services Building & Code Regulation Olvltlml 2300 Virginia Avenue FortPbne, FL 74982 Phmro:p7141624172 Fu:Q72)IIe2.6M3 Permit# Issued: Job Location: Jurisdiction: Subdivision: Flood: Setbacks: Job Description: Contractor Inspection Card Penn it # : 1910-0144 Online address: http:/A v stiuci m.org/planningipermitdng.him Quick Links: Permit Status Lookup Online Building Inspection System Page 1 of 2 SLC-1910.0144 #Confirmation 792 Status ISS 12/20/2019 Type: POOL/SPA-COMMERCIAL 3100 N Ala City: Fort Pierce SAINT LUCIE COUNTY Parcel: 1428-60E0083-000/3 SANDS ON THE OCEAN SECTION 1 - CONDO Lot: Block: Elev: Flood Map: Left: Right: Front: Rear: Install New Spa & Paver Deck. Remove Existing Spa & Pavers (Fiberglass Spa) Spa Is Going In Exact Location. Barry S Mills — Cart #23396 Crystal Pools Of Indian River, Inc (772) 567-3067 4684 N. Us 1 Vero Beach, FL 32967 SUB -PERMITS Permit No Status Permit Type CCU Q.@A Owner/Bu'Ider 1910-0144-01 Issued ELECTRIC - COMMERCIAL 30386 Thompson's Remodeling & Home Repair Inc "r*` Go to htto://codeimpectionpublic.stluciecogov to schedule online. For the Automated inspection system call (866) 284-1280. All inspections requested prior to 9:00 PM will be scheduled for the next business day. Inspection requests between 9:00 PM Friday and 9:00 PM Monday will be scheduled for the following Tuesday. If you require any assistance please contact the Building Department at (772) 462-1574. YOU ARE REQUIRED TO REQUEST INSPECTIONS IN THE ORDER THEY ARE LISTED BELOW UNDER DESCRIPTION. Inspection notes: Permit 3 code Desoduk, Priority Schad Dare Sam Description Inamect, 1910-01" me DEFERRED SUBMITTAL t -OFFICE GEOTECHNICAL REPORT "REQUIRED BEFORE CALLING FIRST INSPECTION- 1910-0144 105 FORM BOARD SURVEY- 2 OFFICE 1) SOIL REPORT REQUIRED BEFORE SIGNING OFF FORM BOARD SURVEY 1910-0144 427 TEMP.TOILET/TEMP 2 CULVERT COMPACTION TEST - 191"i'VI IN ORIGINAL - TURN INTO 3 OFFICE 90% ITITrIll Report prepared on 12/20/2019 9:39:43 AM V✓ Planning & Development Servim Building & Co4e Regulation DMslon 2300VIrginis Averwe Fort Pierce, FL 319112 Phone:(772i462-2172 Fac:(772)4624 Inspection Card Permit It : 1910-0144 Online ajdn%s: ht[I)IN..seudeco.orglplmminypermitting.htm Dusk Links: Permit Status Lookup Online Building Inspection System Page 2 of 2 ENGINEERS REPORT- 1910-0144 106 ORIGINALTURNINTO 3 OFFICE PILING INSTALLATION REPORT 19IM144 111 SHORING 4 1910-0144 113 ANGLEOFREPOSE 4 1910-01" 129 PILE CAP 4 1910-0144 188 MAIN DRAIN TEST 4 1910-0144 189 GRAIN TEST 4 1910-0144 191 POOLSTEEL 4 19104)144 217 POOLBOND 4 1910-0144 417 POOLUNDERGROUND 4 PIPING COMPACTION TEST - /910-0144 1D4 ORIGINAL - TURN INTO 5 OFFICE 1910-0144 123 STAIRS (CONCRETE, 5 STEEL&W000) 1910-0144 193 POOLDECK 5 191001" 194 ALARMIP00L BARRIER 5 1910/0144 238 ELECTRIC ROUGH 5 1910-0144 413 PLUMBING - PIPE TEST 5 1910-01" 196 POOUSPA COVER 9 1910-01" 237 ELECTRIC BOND 9 1910-0144 419 POOL PLUMBING FINAL 9 1910-0144 458 POOL (COMMERCIAL 9 STATE CERT) 191"1" 999 FINAL INSPECTION 10 Total inspections: 24 Report prepared on 12/20/2019 9:39:43 AM *PUBLIC COUNTY: mil', Loc.Lc DOH OPERATING PERMIT#:S(7_60-��L4FZ7STATE OF FLORIDA DEPARTMENT OF HEALTH SWIMMI G POOL INITIAL OPERATING PERMIT INSPECTION REPORT [L�'NeWConstruction [ ]Repair/Alteration [ ]Consultation Name of Pool: I M S (\OM e 4 171�E OGtil VORMPLocation:51M N. 44,14-1 Name of Owner t IN Cda 00 NSSJ ° Address:-ForrrFW P trumy-, F L Building Dept. Permit #. Plan Approval Date: Z ill Pool Type: 31 Q a Bathing Load: Persons Pool Volume: Gallons Water Surface Area: 2 Sauare Feet Variance #: L [[/]] Appprroved✓v[�]Denied POOL SPA IWF DETAILS (✓y NO DIVING as Required ( FXposad P' 1. c I iping C at4d POOIIDeck Area: (�jower Before Entedng Heater Manuf.: O�, 4' W t Deck Unobs;nicted/Slo e H uo Not Swallow Water Model #: ( Irk � t'j p ( �) ( ) Bypass ( ) Protected/Fenced ( yjlmpervious ( Slip -Resist. ( ool hours: AM AM to Q PM ( ) Thermometer Location ( kin9't'ertnanemt ( ) T mpemtum Reading: °F " Resistant EQUIPMENT prove ( d Test Ki( lA ( 28° 0"High H aydrails/Grebrail FlltratlonlColiector Tank: ✓p�- {fair Model: ( In Deck ( yin Bottom Step —� ( ressure ( +V—um ( ) 6fess-sr adders 3y 1 ASand I-MY.E. ( 1}8annd9e SPA Uniform Bench Edges Marked encIVGettErSlip-Re'. 14% 18"INkle <5' D Grates #: nlets# 11 re Inlets ". PooiFence =1- S & Gates a 48" ( ilding Dept. Apvd: Self Close/Self Latch ( 5 ° ( n5larwater Lights #: (�) LED (-jlpcandaecerlF— Vacuums: (�Flumped(=rteMiTffnegs ,— Bibb Vacuum Breakers, D ck( Restrooms (7 equip. Area sl and Attraction Shower I. )Life Hoov #' f )LIE Ae �^g_>— Poo ule sl n: ( No FoodlDnnk on Wet Deck or in Pool; Animata/Glass in Pont or 50' (B cl Are Correct Bathing Load: Model w , r' Finer Area: fl' # of it Dra wn Test, N ( if]0% Main Drain (NSkimmerrSou a ( (yK Kyp proved Water Source ( ater Level Controller ( ross Connections/Air Gap ul nt tigno ation rcula oPmn up(s) ( )/ Manuf.: - d Hair/Lint ralner ( H ( ) lowmeter: e auges: In.. POI Eff.: _ ng±- ( Feature Pump(s)#: Manuf.: Model #: Horse Power: -a) I*b "Erialur•-Fbvrtatar-- (yfChlorinelBromineF eder Manuf.: Model #: COMMENTS — k tonal Rules Signage ftAlarm & Closed Signage 44 *((RtFP' ter M.ke:COFV Model: / IWF ( )NS UV( )EPAV Bdaled UV Make: ���(8g� Model: ( )O J '1� Mak e: Model: ( )Inter ks - Other: Q1L OPERATION - -Wi( inHc V?"4/7 Recircufelt[ or7m rNSP ( e Chlorine: ppm(mg/L) ( • Z CYA:ra e�) Clean, Water Clear (yWol ater level: ( )High ( ) Low GPM SANITARY FACIE ) Building Dept. Apvd: t ( )Supplies ( ) FiM gnagege OTHER MOCK (-i-c�gQypp - e AP) ( ) StideGertihcad Y E. edock (.F ants ( ) Other: ( ) Other: ( ) Other: neY result Ina poolthat lainoperable inasafeend,nonne,wndibw and mar wuw me ueperunem., �ee,w w�.vW =•o,--..-.___.._. _.. _,.__._. Mthout a DOH Permit Is a vloladon of Chapter e4E-9. FAC, and Chapter 514, Monte,Statutes (FS), and will plaw the owner sublect to legal aot on. Please nobly to Department of Health agtntliatetl balowwben wnecuons are made ad that a m4rotpotoon own W atlmduled. NOTE: The Arenas with Dlaabit'". A (ADA) and Florida Building Acceesibigy coda may epplg owner b advlwd to check With 1.1 Bottling Dep�annme�nt. �--y� t�� /� 1,�,_/n t� Report Received by Signature: � .l-a W= `Y� Print Received by Namye�i�(�� L&)(k1Q1LE �,0y]o—)_T DOH Agent Signature: PmA DOH Agent Name:l 0 p—&Q YEi NIR ^� DOH Emei u A f S 1 @FLHeallh DOH Agent Phone Number: = Gr Initial Inspection Date: � 1�\ Reinspeceon Date:BI)-� % PIES IOP Issue Dater [ DH 1350, Effective 10/2018 (Replaces 1016 edition) a4E-9.001, FAG See additional page(s)I I