HomeMy WebLinkAboutFL DOH POOL OPERATING PERMIT07/23/2015 15:30
#0529 P.001/001
COUNTY RaLM_Bea'
[A] New construct, ,.
[ ] Modification
STATE OF FLORIDA
DEPARTMENT OF HEALTH,
PUBLIC.SWIMMING'POOL INITIAL OPERATING PERMIT INSPECTION REPORT
Name of Pool
Name of Own,
Plan Approval Number
Operating Permit Numbef $6.60 • IS RxS 6 Z
. items marked ware not in compFance with the require
424.1, Florida Building Coda and may result In a pool that is inoperable in a
. of Health to deny.your request for an OparaBng Permit Use of this pool wit
'64E•0 (FAG) and Chapter 6141-Flodda Stabiles and will piece the owner su
Health agent fisted below be notified when corrections are made so that a r
..FILTRATION
( ) Pressure (,V Vacuum
( ) Sand (X) D.E. () Cartridge
Model# /l
Flier Area
( )'Equipmapt Room Ventilation
( ) Equipment Room Lighting s
(•) Equipment Raom Drainage
• Pump Man.0 ^1—��,�
()Model k CNo --
') Horse.Powar
( )'Hairand Lint Strainer ✓
)Flawmater( 115 oPm)
Inf. .. Ea. psi
. ( ) Vacuum GauB'a
Reading . 2 , 5 + In. Hg
(, ) ;thermometer Location:'✓
?)2empemture of a 'F
(%;):Chlorine Feeder
Manul. $Ac-,y,4 r _
capaipty Sdap�l'
(I
1:4
Date Bathing Load 30 Persons
Date Pool Size V1,000 Gallons
ments of Chapters 64E-9. Florida Adminisvallve'Code (FAC), or Section
action.
can be
Mait
anft u-ia Ip r
Model
Testing Capabilities:
(A PAC (.) CAC phi
( .}EH TA (..) CYA
( ) Vacuum Cleaner ✓
Number of rdtings �^
(O Ufa Hook wrPoie #
.( t) Ufa Ring WlRope #_}„•�^
( ) Four Foot Deck v
( )Impervious.( )Sup Resist
( ) No Overhead Woes ✓
( ) Steps Uniform ✓
(.)Stop Edges Marked W. .
(I() 28' High Handrails Mounted -
( ) In Deck
( ) In Bottom Step
( ) 28' Koh CrosabraTAd (added/
( ) Mounted in Deck
( ) S'to 6' Wall Cleatance
( )Depth Mar�iny Permanent v
( ) Location ( ) Blip Resident's
( ) O'eck'NO DMNG' markings✓
( ) Main Drain Grates # 1
i
vater m.evem consoner — (
Connections'-' approved
M Breaker on Bmbs✓
cause
isav
( ) SISV. Underwater ' htti
Watts
( ) Heaeteed9YeWeatl.Llgbt {
( )Hter
Manuf. 3's,. I
Model #
( ) By Pass v
SANITARY FACILITIES
( ) Building dept approved
Approval Date.
POOL SIGN
( ) Prohibits Animals, Food, Drink,
and Glass an Deck or in Pool v
( ) Provides Bathing Load v
( ) Shower Before Waring
( ) Pool hours
( ) 4' HO DIVING as Required ✓
OPERATION
( ) 24 HrJDay Equipment
Dparation orTime Clock
( ) Fraa chlorine 3•(5 multi .
.: () PH -7. f*
O Pool Clean
.( > Water lever ) High- ( > Low �•
( )WWWAPpearanaev .
SPA- _
NOTE: Amarlcans vnth Disabilities Act (ADA) Rules may apply, chock With local building doyarCnent
.COMMENTS AND INSTRUCTION
.. Cbpy of this lnspa
:Dateoflnspeaion-1-21-1s
Deparmitim of Heahh'Enginaatl$aniterian
Print Name Uowti'.'L\Y6•i\Pw,
I
Telephone Nu rilfftf.0ept: of Heats Agent '
E-mall Address.'..: '
'OH-1360, ER. 0=013(Replam 7!9a dtaon)w-6.oa7, FAC. � � .. ... .
SCANNED
BY
St. Lucie County
JUL L3205
FL
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