HomeMy WebLinkAboutHealth dept, st of fl, notice of resurfaing public pool I �V
* 1
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w For Department Use Only
Date Received_/ /30�21
Received From
DOH Operating Permit#
STATE OF FLORIDA
DEPARTMENT OF HEALTH
NOTICE OF RESURFACING OF PUBLIC SWIMMING POOL
1. Project/Facility Name: j L�1 t1 Y r E 01 e ?_'-eCu te_'Z(')PS County: ��C UL/ e
Address of Pool: - h) c��/� City: Zip:
: �l l�/
�n y F�� p 7
2. Owner Name: �l Z4A;F1C E-Mail: p Phone: (_
Mailing Address: RU RAC 3 �I 7(�, City: C� 6J7.- State: bQ6Z-ip: Z �
3. Building Depart. Name: ''l � //��
Mailing Address: ?i3� V`�Ai�'! J AAyz City: 4-k I",4Sc State: FL Zip: 3 �Z
E-Mail: Phone: Z —/SS3
4. Contractor Name: � //f/J rela?k— cFC#: r 7,7
E-Mail: a/_ Phone: (�3,3Z S�
5. Public Pool Resurfacing Building Code Compliance Check List:
Lip of the gutter leveled to within 1/4 inch (6.4 mm) between the highest and lowest point and the downward
slope from the lip to the drain must be maintained as originally designed or increased, not to exceed new
construction standards. (Florida Building Code (FBC) section 454.1.10.1.1)
Tile step markings installed per requirements of Section 454.1.2.5.3. (FBC 454.1.10.1.2) Note: When
markings are specified by code to be dark, the term "dark"shall mean a Munsell color value from zero to
four. Must be slip resistant too.
Where applicable, the slope break marking must be installed meeting the requirements of Section
454.1.2.2.3.2 and a safety line installed 2 feet(610 mm) before the marking. (FBC 454.1.10.1.3)
Depth markers and NO DIVING markers installed in accordance with Section 454.1.2.3. (FBC 454.1.10.1.4)
The pool ladder must have a 3 to 6-inch (76 to 152 mm) clearance from the pool wall. New cross-braced
ladder(s) shall be installed in place of non-cross-braced ladder(s) in conformance with Section 454.1.2.5.1.
(FBC 454.1.10.1.5) Note:Ensure Florida Building Code 454.1.10.4.2 Equipotential bonding has been
inspected and verified by jurisdictional building authority.
Should resurfacing works affect the step riser heights, no riser shall exceed 12 inches (305 mm)for pools
and for spas, and the intermediate risers shall be made uniform. (FBC 454.1.10.1.6) NOTE:the 12-inch
allowance for pool step riser is a code modification the Building Commission has approved for the 2020
FBC revision, 7t'edition.
Step treads that protrude from the pool wall shall be removed and replaced with a cross-braced ladder or
reconstructed to meet the requirements of Section 454.1.2.5.1 or 454.1.2.5.2. (FBC 454.1.10.1.7) Note:
Ensure Florida Building Code 454.1.10.4.2 Equipotential bonding has been inspected and verified by
jurisdictional building authority.
RECEIVED
DH Resurfacing Notification Form,12/30/2019,Rule 64E-9.001,F.A.C.
Page 1 of 2 JUN 3 0 2021
St.Lucie nry
permitting
6. Note:Florida Building Code section 454.1.2.4 Color. Pool floors and walls shall be white or light pastel in color
and shall have the characteristic of reflecting rather than absorbing light. The interior finish coating floors and
walls shall be comprised of a nonpigmented white cementitious binder component together with a sand/aggregate
-- component. The finish coating shall have a dry lightness level(CIE L value) of 80.0 or greater and a wet luminous
reflectance value(CIE Y value) of 50.0 or greater, as determined by test results provided by the manufacturer,
utilizing testing methodology from American Standard ASTM D4086, ASTM E1477, ASTM E1347. Pools
constructed of fiberglass, thermoplastic, or stainless steel shall be subject to the same interior finish color
requirements.
Pool Interior Finish Color Selection (print or type on line below):
Replacement Color Selection (print or type on line below):
Note: If suction outlet drain covers, sumps or other anti-entrapment safety features are replaced, provide DOH
with completed DH 4157 form under s. 514.0315, Florida Statutes.
Note:If deck alterations are in the scope of work, the wet deck must be maintained as originally approved or meet
current Florida Building Code ADA requirements.
REMARKS:
CERTIFICATION OF OWNER
The undersigned owner, or owner's representative, hereby agrees to operate the pool described in this notification in
accordance with the requirements of Chapter 514 of the Florida Statutes, and Chapter 64E-9 of the Florida
Administrative Code (F.A.C.), and maintain the original or the resurfaced construction compliant with the Florida
Building Code(FBC), Building, Chapter 4,section 454.1 that is approved or accepted by the jurisdictional building
department.The undersigned owner,or owner's representative,further agrees to comply with the requirements of the
FBC Cha er 4 Section 4.1 10.1 when undertaking the resurfacing project h rein described.
Si C1 Date: U
Name: f 7 ,�) Title:
(Print or type) (Print or type) If not Owner,attach authorization from Owner
THIS SECTION FOR DOH USE ONLY:
It is recommended that the above resurfacing notification 4APPROVED( )DENIED,subject to provisions of the F.A.C.and the FBC.
4M, 7
190
Sign re:D0H Engineer/Authorized Staff Date
J&444.i-
Print or type Name
DH Resurfacing Notification Form, 12/30/2019,Rule 64E-9.001,F.A.C.
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