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HomeMy WebLinkAboutThe Sands on the Ocean Condo SPA POOL DOH Initial Permit & Final Paperwork 08.31.2020Ron 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