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1901-0248 pool
CERTIFICATION OF COMPLIANCE Description: Square Grate Size: 12" x 12" Sj �� Open Area:. 62.4 in2 ye gisfps: 292Floor Flow Rate: 356 GPuGBWall Flow Rate: 280 GP ST. 2008 Date of Manufacture: 5ve This product has been tested to ANSI/ASME 112.19.8-2007 (addendum Sa-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 Safety Act. A copy of the test results for the above may be found at wvvw.waterwayplastics.comorgo to www.uLcom. This product is manufactured by Waterway Plastics, Oxnard, CA 93030 Mackin the USA 2200 East Sturgis Road Oxnard, CA 93030 • Ph. (805) 981-0262 • Fax (805) 981-9403 ®mmv<i:�rase�u www.waterwayplastics.com •waterway@waterwayplastia.com 81a0253.0412 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (� Date: —A • 60, - 99, Permit Number: lh7 Building Permit Application LJi'A C1Vh:D Planning and Development ServicesBuilding and Code Regulation Division 14 20192300 Virginia Avenue, Fort Pierce FL 34982Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Rounty, Permitting PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Address: d Legal Description: Property Tax ID #: I 2 -5- 230, QW 1- Q 00 • J5 Lot No. Site Plan Name: Project Name: Setbacks Front Back: Right Side: Left Side: I�HVAC U Gas Tank ❑Gas Piping Electric El Plumbing Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 3�-I f JL7 Na City: E�21 ?.FTiix7t State: Zip Code: Fax: Phone No.7' E-M a i 1:_//� llld h✓ TC C{ i ti% r 9A Ply 0 Block No. Shutters ❑ Windows/Doors Generator 1:1 Roof = Roof pitch S Ft. of First Floor: _ Utilities:Sewer Septic Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Building Height: Address: vda yZ /?fo/ /2 HuIY City: &ffi State: Zip Code: Z4L < Fax: r722--2/7-11t23 3 Phone No.-72:.2- _2J 7- 4?50 E-Mail:eJ s-bPr' s1 .e. ; M State or CC n`ty License: r If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in contlict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested_permit,_I_do_her_eb_y_agree that _I_will, in all respects, -perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for improvements to your property. A Notice of Commence t-rrrustbe recorded and posted on the jobsite before the first in pection. If you intend to obtaiDfifrancing, consult with lender or an attorney before commencing w_afk or recording our NoticgoKobmmencement. sse /Co ra or a gent for Owner Signa re n61D Signa r Contractor/liic'� Holder STATE OF LO �/ COUNT OF STATE OF FLORIDA COUNTY OF The f going instrument was acknowledged efore me this 3day of pan 20i�by The forgoing instrument was acknowledged before me this day of 7Gn 20�by 17 Na a of perso aking statement Non r9aking statement Personally Known OR Produced Identification Personally Known / OR Produced Identification Type of Identification Type of Identification Produced Produced �A (Signature of Notary P LLS P Commiss' F 228285 Commission No. ��QQII��yy�� y ComrA 19 Expires i3we r 4 2019 (Signature of Notary P C M LLS Commissio 285 Commission No. y Comm' xpires Se leml r 4 ,' REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17 7e�Zm j �- FL-SIA ENGINEERING, INC. PROIIESSIONACIVIL ENGINEERS ENCINEEIIINCL & CONSTRUCTION MGT. SIONVY KOVNER, P.E. "No Job Too Small" (561)386-4385 (561)352-5086 (561) 622-6820 Fox 1391sle Verde Way elaideag@conmssLael Palm Beach Oordeas, FL 33418 It. L"" &A % &.� QAV. t r. A. "I C�a':tuQ. Qom 4 PAMW 644 uii Qr fiAv 3 4 $ APR 15 2919 Permitting Department St. Lucie County, FL e9. 'v, eQc,,,o.- S.,. �nr�n�. uej , �,cu"' '►�`" `''e`c'"�`�°""�'n� " a Poto fj tiior+�-.ti.�w m ""� •ram -edo h"` l ^' , att&�o 11" fo� ;A 04",tA� oAI� ASTiM 5.1&,4" 4Sq.1•2.4• qko )UAO A#LW &,-.4,,A Wh - � • � 0. 12�� x lt'I 'v�+ti l�l.b+,l� �n4wno o� � w ;,,A . w AM11 ASPS St&u" KS4.1• i.�o.z t=ec Lo�7 �._ tea_ ��..�y , �.� � %�► ,P- �twc.�a Ito % ;v. a ee �+ 1 w f j t�ian F%3C to %I O�F'/2P ��/i No.16668 i 4 STATE OF ; O %Q�, . FLOg2x®h%aC9��e S�uuey }Ludi��. 406 m f>rm, r �Yr� `i �- 1gD1 -Oo`�-��. Tu--k Yero�dk l W2(ivs to f'f((1 j pl>�iTi1 BAN 14 2019 Lacre cni.,,..... Wy BUILDING DIVI RCVIE DATE MUST nF KE €- oN jQu on Nt:? 11:=1� •.rsi7L)ie ?M'ELL E:F MADE liubC, .n .✓.e.d n... n.iWORK ARE S11 CTMMYCliiF100:3 RtUii,EO E'1 r1«LD INSPEC"WAS THAT a� - V.,u»1RY 14 FR IO 17 .r ,'. 0 CONCFALED FASTENERS OR ATTACHMENTS ARE THE RESPONSIBILITY OF THE CONTRACTOR OF RECORD Sck-�-Sj Xcpt rciurn -fi-Aims. e Ii0k, ti. Q—VtQS}e.r (-Dcbt C,SfV�7 5, in �am YWw �'(V)tAr1 dr(lin 90t-i - ktcy fake � mj V nyS. 1/11/2019 Our Products I Gem Finishes I Pool Fini,`,gs MIXING PROCEDURE: Use only clean, potable water. Approximately 1.5 to 2 gallons of water per 80-pound bag can be used to bring the mix to a lump -free consistency. Allow the mix to agitate in the mixer for 10-12 minutes to provide best workability. Gem Finish is a complete product; addition of other materials is not necessary. APPLICATION: Apply Gem Finish over a cement base that has been dry for a minimum of 24 hours. The pool's walls and floors must be evenly sprayed with water before application to reduce suction. Gem Finish should be applied to a thickness of 3/8" to ''/2". Application is best accomplished by mechanics that adhere to the professional standards of the plastering industry. EXPOSING GEM FINISH: Depending upon prevailing weather conditions exposing the Gem Finish surface can begin shortly after finish trowelling or up to 12 hours later. Factory trained personnel are supplied when requested with initial use of Gem Finish. These personnel can supply instruction in the exposing phase of the Gem Finish installation. CURING: Filling the pool with water may begin upon completion of the exposure phase. COVERAGE: Florida Gem Finish will yield approximately 3-5 square yards (27-45 square feet) of material per 80-pound bag. SPECIFICATIONS: All materials used in the manufacture of Gem Finish comply with ASTM C926-86 and ANSI 2 1971. PRECAUTION&-T-0BE-OBSERVED: -- This product is portland cement based and can cause skin or eye irritation. Any skin or eye contact with this product should be immediately washed with plenty of fresh water. Wearing of a respirator is recommended when using this product. WARNING: Do not use a bonding agent in the mixing or application of Gem Finish. NOTE. Florida Gem Finish is formulated with natural quartz aggregate. Color variation within aggregate deposits is inherent and may vary flurn previously obtained samples. Further, maintenance of the pool's water chemistry is vital and must remain within industry guidelines to ensure the beautyn integrity and longevity of the surface. Back Our Samples Florida Slacco raleraeaw Player View how Florida Stucco Finishes could look in your pool. More Details Our Warranty Florida Staeeo Finishes Warranty LRECEIVED JAN 14 2019 . Lucie County, Permitting H-,: s f �a �� lei ;a 9 �9 n� Specific Gem and Pearl limited warranty information. https:/Avww.floddastucco.com/gem-finishes.htmi 2/3 1/11/2019 Our Products 1 Gem Finishes I Pool Fi&s Florida Stucco Corporation 800.334.5134 Home About Us Products o Our Products o PoolFinishes> • All Pool Finishes • Gem Finishes • Reserve Finishes • Pearl Finishes • Petite Finishes o Deck Finishes Our Gallery. • Gem Finishes o Reserve Finishes o Peat•1 Finishes o Petite Finishes Contractor I Architect o Product Applications > • Gem Finishes • Reserve Finishes • Pearl Finishes • Petite Finishes • Deck Finishes • Florida Stucco • MarbleCote o Warranties Resources Contact Us Florida Stucco Pool Finishes Gem Finishes RECEIVED JAN 14 2019 0_ ST. Lucie County, Permitting ©C Gem Finishes, the etch resistant marcite alternative, are a mill prepared marcite alternative blended with the highest quality selected colored quartz aggregates, white pordand cement and proprietary additives to enhance strength, density, bonding and eating. A Gem Finish will yield a hard, long lasting surface highly resistant to stains and spot etching prevalent with traditional pool plasters. Exposure of the aggregate produces a safe, slip resistant and non-abrasive surface that attains a compressive strength in excess of 3500 psi in 24 hours and exceeds 7000 psi in 28 days. SURFACE PREPARATION: Suitable for application over gunite or shotcrete substrates which are free of foreign matter, e.g., dirt, grease, oil, dust, etc. If an acid wash is used to rid the substrate of foreign matter, neutralize with a solution of soda ash and water. If the project is a renovation, Florida Stucco's POOL PREP is an excellent preparation material to be used in conjunction with Gem Finish. Consult our specifications regarding POOL PREP for additional details. https:/twww.floridastucco.com/gem-finishes.htmi 1/3 Mission: To protect, promote & improve the health of all people in Florida through integrated, n state, county & community efforts. HEALTHda Vision: To be the Healthiest State in the Nation FLORIDA DEPARTMENT OF HEALTH - ST. LUCIE PUBLIC SWIMMING POOL PROGRAM RECEIPT OF APPLICATION Rick Scott Governor Celeste Philip, MD, MPH Surgeon General and Secretary Project Location (Street Address, City, Zip Code) Riverpointe Sands Community Pool: 2035 Lynx Dr. Fort Pierce, 34949 Applicant Information (Owner/Agent Name, Contact #) JAN 14 2019 ST. Lucie 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 local 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) Documentation Provided ® DOH Form 4159 ❑ Pool Plans and Specs. ❑ Letter of Authorization ❑ Other: 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. Date Received: 1/14/19 FDOH PROCESSING INFORMATION Florida Department of Health -St. Lucie County Division of Disease Control and Health Protection Bureau of Environmental Health Location: 3855 S US Highway1, Fort Pierce, FL 34982 Mailing: 5150 NW Milner Drive, Port St. Lucie, FL 34983 Phone 772-873-4931 Fax 772-595.1306 Received By: Joanne Evans, ESIII Accredited Health Department Public Health Accreditation Board FloddaHealth.gov