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Home My WebLink AboutAPPLICATION FOR A SWIMMING POOLi Thn• (Cheat bQX =9 bw an btu [ I iowPlsm@ I )4 ModWA:at(on Resurface [ 7 Trataaer, Change of owner or name ( IINED Y Fee Recaved i Dais CheCW Ffam 0lparmingpwmil/ 56-60-00267 B STATE OF FLORIDA St. Lucie County DEPARTHeIT OF HEALTH APPLICATION FOR A SVWWING POOL OPERATING PERUff Thie adghW tam is fa be oompided aM uftTJUd with am copy, a ud d mnsudion Plus & ePeca aoopy dike hi6g depubnad'a ami bmpadim alag we no sppapti4 faw I. Nam Cfft WjFafftty Atrium on The ocean - Pooh St. Lucie AddnmdPoal 2900 North Hwy. A1A Ft. Pierce P. 34949 2. Namdgme► Atrium Ocean Front Holding E jgalvinl62@gmail.combane7721 626-8079 RjaTnVAddn= 9101 SW 100th Street c.I Miami Stain FL 33176 a 8ufiftDePabmtMmnar St. Lucie County Bldg. Dept. 7RIw�721462-1553 2300 Virginia Avenue Canfad Btieon Wndo, Ft. Pierce, FL 34982 P.O. ar--Q""Adyew CRY. SOD. $rA E4mf Addmn 4. Pad City Water 5. Lighting (doa ore): (30 Ma NW 8rrimuW . ( ) Outdoor. Twee tagt r+ndes ovedrsd ad 1/2 waft Per nquaa taa dpod wBfeoe aea undwwmmer ( ) hdoan Tan foot ridesaraheedmdanowdtperaKrefootdpodantaoniamundeneater 6. Pad Vduan in Gelm: Min pad 26,900 Wedeg Pad POOL-OUrer 7. pool 8etlnig l,asd: 20 Nianbaof Qwig Udfe & Pod Dbn wwr 20' Lwip 40Mn 800ftwmaw 120 Oeptb: M®c 6' Mh 3' swWRectangle 9. wda Tnaonnu E*Ommt Rtwo and Modet (A)Ra;cukdwpuM Sta-Rite Duraglass p 140 GPM 1At 10 TM d, 2 (0) Filar. Vacuum. DE ow. Mee 7.08 gq. Ft Ftawcaparily 106 (C) owdasm Equonow Stenner Feeder(2) 50 CN*dtY (GPD)or(PPD) (Swwwary DWnfection iAPPlmdel _ (D) PH Adnmbrowd Feeder Stenner Feeder city' S0 LGPD) (E)Tau Taylor 10. EqufPment &baur... DH 4159. Eft 1012D14 (Oboolan 0H816 7= and DHB18 5/12 a ftm) 61E4L001. FAC. Page 1 d 2 The undemigned owner. w owners rap emrhhtive. hereby agrees to ale the Pool desatted in Oft application in aowrdanoe Wier the requbeerNs of Chapter 514 of the Rarlde Stabiles (FA), and Chapter 64E-9 of the Fbrids Admbbbadve Code. and maintain the mkinal construction apprwied under the Flmtda BLMft Code bythe ju laff banal buildit departrnerL This agreement includes Weeping a daily record of the idWmndo4 reperdwt9 Fool Operation on the mm" report form anietned by do deparunmi or on odrer Ms.. s approved by the 7Zwhen requested, eabinksfon d the camplded form WOO appropriate cormty hub deparbrerr coo /9/J6• Y it Ttle .`. r- if (Pan,wtype � «ype) RBMARK3. Installing new 6"x6" Colonial Blue Tile with new Depth Markers. Install new Quartzscapes °3/8"-1/2" thick. Bring all Main Drain Covers to Code. Tekahm Building Department Construction Approval Date Approval Number C6riF1CAT1eM of aLTPEC110N aE f4O/atl &At 0d % 12/23119 1 hereby eatirythat an Inspection c1thi3 pool has been mode and the foregoing lnfamation ismneet to the best of my bWNk %P and belief. It is recommended the Est arwral operaan9 pomit be graNad m6jeu to am provisions or the Fbrida Administrative Cade. /fIaif/9 Dow Into EHD by �JVY/ on Nest , cdorw Before sabmilling application to DOH: For Initial Pammit Complab the entire application with owner certification. include original and one copy of this completed form, a copy of construction plans & space aubmillted to to approval. and (el c copy in PDF.viIF r JPG format Is acoeptabfe), a copy of the building departmient appropriate de design engineers name and phone number in RE MARK& The operating pert number will be entered by DOH dfffi For Modification: Complete item 1 - 3. enter e)octin6 operdft permit number, tote proposed or completed dmnges it the appropriate sections, and complete the owner cadifice6on on page 2. Include a copy of the conabue6an plans 6 specs submitted to the building department (electronic copy is acceptable) and a oapy of the buitddng dapaMntaWs final Inspection approval. Provide design engineers name and phone number in REMARKS. FoiTransfer. Complete items 1 and 2, enter eAsting operating permit number, then wrote changes in tha page 2 owner -remarks won, and complete the owner gallon on page 2 Thus is no be or building plans required fors transfer permit reissued due to change of ownership. mama of liscility. phone number. or emaifag address. Fbr ltew cal: Complete items 1 and Y, enter eidAng operating permit number. and mnplate the owner cerfaficatieaon page 2. There Is an annual operating pert fee charged for renewal. DH 4159. ER. 10114 (Obcdefec Dti916 7A7e and DH918 SH2 editions) 64E-9.001. FJIC. Page 2 of 2 i 1613 APPHcaUon Type: (check box. see Instructions on back) [ 16dtial Permit _klModifkcalion Resurface [ 1 Transfer. change of owner or name [ 1 Renewal _ . )epartrnent Use*Only Fee Received 3 Date Choddl From OperathigPermit# 5b-60-0026e 5* —GD - ev Reor' STATE OF FLORIDA SEP ; 3 DEPARTMENT OF HEALTH I C, .. APPLICATION FOR A SWIMMING POOL OPE�t n, This original form Is to be completed and suWfMd with one copy, a rot of construction plans & specs. a copy of the building department's Mail Inspection along with the appropriate fee. 1. Name Atrium On The Ocean County St. Lucie Addessofpow 2900 North Hwy. AlA —city Ft. Pierce Zip 34949 2 NaneofOwner Atrium Ocean Front Holdin al jgalvin162@gmail.col,f�ef772 626-8079 MabMAddress 9101 SW 100th Street- my Miami FL Zip 33176 3. BuddingDeparbncntNeme: St. Lucie County Bldg. Dept. 772 ( )962-1553 2300 Virginia Avenue A'V eice, FL 34982 Ph""wbc P.O. eoxorSbeetAddress MY. Slade. ZIP code 4 Pool Water Source City Water 5. Lighting (cleat one): (K No N gW Swimming ( ) Outdoor. Three foot candles overhead mW 112 waft per square foot of pool surface area underwater ( ) Indoor. Ten foot candles overhead and Bf10 waft per square foot or pool surfeo®emee underwater 6. Pod Volume in Gaibns. IlAaln Pool Wading Pool spa Pool 800 Other 7. Pool Bathing Load: Number of Dwelling Units 8 Pool Dimensions: Wldlh:8 r Lenp: 8 • Area 6 0 Perineter. 2 6 Depth A1ex.3 6 rr Min._ Shape 9. Water Treatment Equipment Make and Model- , (A)RadnauetionPump: •Sta-Rite Duraglass Flow 82 Gl'MAt 100 TDH HP 1g (B)Fifter 2 Dyna Pure Cartridge Filters 10a 37.5 Sq. FL Flow Capadly (C)DlsinfecflonEquipment 2 Sterner Feeders Capacity 50 (ppD)or(PPD) (Secondary Disinfection OApplica; �) pH AtIjustment Feeder Sterner Feeder capacity 50 (GPDI /Fl,r �- Taylor 1.0. Equipment SubsWutlons CONTRACTOR COPY DH 4159, EfF.10f2014 (Obsoletas DH916 7108 and OH918 &12 adillons) 66E Wl. FAC. Page 1 of 2 CrXWICATION OFOWNER The undersigned owner, or owners representative, hereby agrees to operate the pod described in this application in accordance with the requirements of Chapter 514 of the Florida Stables (F.S.), and Chapter e4E-g of the Florida Administrative Code, and maintain the original construction approved under the Florida Building Code by the jurisdictional building deparunerht This agreement Includes wing a daily record of the Information regarding pool operation On the monthly report form furnished by the department or on other forms aad by the department d when requested, submission of the completed form to the appropriate county heath departm Signed Date Name JL (Prim or type) Tdle —(phM or type) REMARKS: Installing new VXV Colonial Blue Tile with new Depth Markers. Install new QuartzScapes 3/8"-1/2" thick. Bring all Main Drain Covers to Code. i)esian EminevrArdhitaet Name• 7ekolnne: Building Department Construction Approval Date Approval ST. Lude CERTIFICATION OF INSPECTION I hereby certify that an inspection of this pool has been made and the foregoing irdorrnatlon is correct to the best of my knowledge end belief. It is recommended the first annual operating permit be granted subject to the provisions of the Ftaida Administrative Coda. �✓dr,ii Sh9rh341re DOHEnpinBWAuntwr¢ir ed Staff JMfi4,.. &AN Prot Name data entered into END Instructions- Before submitting application to DOH: on Date For Initial Permit: Compete the entire application with owner oertifi®con. Include original and one copy of this completed form, a copy of construction plans & specs submitted to the building department (electronic copy in PDF. TIF or JPG format is acceptable), a copy of the building deparlmerlt final inspection approval, and the appropriate fee. Provide design engineer's name and phone number in REMARKS. The operating permit number will be entered by DOH staff. For Modification: Complete items 1 - 3, enter existing operating permit number, note proposed or completed changes in the appropriate sections, and complete the owner Certification on page 2. Include a copy otthe construction piano & specs submitted to the building department (electronic copy is acceptable) and a copy of the building department's final inspection approval. Provide design engineer's name and phone number in REMARKS. For Transfer. Complete items 1 and 2, enter existing operating permit number, then note changes in the page 2 owner remarks section, and complete the owner certification on page 2. There is no fee or building plans required for a transfer permit reissued due to change of ownership, name of facility, phone number, or maifing address. For Renewal: Complete items 1 and 2, enter existing operating permit number, and complete the owner certification on page 2. There is an annual operating partnit fee charged for renewal. DH 4159, Elf. 10f14 (Obscletes DH816 7108 and DH918 5112 editions) 64E-9.001, F.A.C. Page 2 of 2 ,q SCANNED BY St. Lucie County Application Type: (check box, see instructions on back) [ ] Initial Permit _[ 4 Modification Resurface [ ] Transfer, change of owner or name [ ] Renewal ,or Department Use Only Fee Rem ,.'ad $ Date Check# From 50-60-00267 SEP 13 ''0'9 STATE OF FLORIDA DEPARTMENT OF HEAL ST. Lucie'Counry, Permitting APPLICATION FOR A SWIMMING POOL OPERATING PERMIT This original form is to be completed and submitted with one copy, a set of construction plans S specs, a copy of the budding departments final Inspection along with the appropriate fee. I. Name of Project/Facility Atrium On The Ocean - Pool County St. Lucie Address of Pool 2900 North Hwy. A1A C, Ft. Pierce 34949 City Zip 2. Name of owner Atrium Ocean Front Holding E-Mail jgalvin162@gmai1.corr6 f72-1 626-8074 MaIIIngAddress 9101 SW 100th Street City Miami State FL Zip 33176 3. Building Department Name: St. Lucie County Bldg. Dept. 772 462-1553 2300 Virginia Avenue contact arson Phone Number P.O. Box or Street AdFt. Pierce, FL 34982dress City, State, Zip Code E-mail Adtlress 4. Pool Water Source City Water 5. Lighting (check one): ()0 No NightSwimming ( ) Outdoor. Three foot candles overhead and 1/2 watt per square foot of pool surface area underwater ( ) Indoor: Ten foot candies overhead and 8110 watt per square foot of pool surface' area underwater 6. Pool Volume in Gallons: Main Pool 26,900 Wading Pool S Pool— Pa Other 7. Pool Bathing Load: 20 Number of Dwelling Units- S . Pool Dimensions: Width: 20' Length: 40' Area: 800Perimeter..1 20 Depth: Max, 6' Min. 3' Shape:_ Rectangle 9. Water Treatment Equipment Make and Model. - (A) Recirculation Pump: Sta—Rite Duraglass Flow 140 GPM At 1 1 0 TDH_ HP 2 (B) Filter. Vacuum DE Area 7.08 Sq. FL Flow Capacity 1 0 6 (C) Disinfection Equipmen: Stenner Feeder (2) Capacity 50 GPD or PPD (Secondary Disinfection if Applicable) (D)PH Adjustment Feeder. Stenner Feeder Capacity 50 /GPDI (E) Test IGt: Taylor 10. Equipment Substitutions DH 4159, Eff: 1012014 (Obsoletes DH9)6 7108 and DH918 5112 editions) 64E-9.001, F.A.C. Page 1 E C 01�1 max CERTIFICATION OF OWNER _ I_ _ The undersigned owner, or owners repr.. 'ative, hereby agrees to operate the pool dese.:__J in this application in accordance with the requirements of Chapter 514 of the Florida Statutes (F.S.), and Chapter 64E-9 of the Florida Administrative Code, and maintain the original construction approved under the Florida Building Code by the jurisdictional building department. This agreement includes keeping a daily record of the information regarding pool operation on the monthly report form furnished by the department or on other fortes approved by the departme%and when requested, submission of the completed forth to the appropriate county health 1911-� sae- 9.6' J3 or type rint or type) REMARKS: Installing new 6"x6" Colonial Blue Tile with new Depth Markers. Install new QuartzScapes 3/8"-1/2" thick. Bring all Main Drain Covers to Code. Design Engineer/Architect Name: Telephone, Building Department Construction Approval Date Approval ST, Lucia County, permitting CERTIFICATION OF INSPECTION I hereby certify that an inspection of this pool has been made and the foregoing information is correct to the best of my knowledge and belief. It is recommended the first annual operating permit be granted subject to the provisions of the Florida Administrative Code. Signature DOH ErgineedAuthorized Staff Print Name [ ] Change data entered into EHD by on Instructions- Before submitting application to DOH: For Initial Permit: Complete the entire application with owner certification. Include original and one copy of this completed form, a copy of construction plans & specs submitted to the building department (electronic copy in PDF, TIF or JPG format is acceptable), a copy of the building department final inspection approval, and the appropriate fee. Provide design engineer's name and phone number in REMARKS. The operating permit number will be entered by DOH staff. For Modification: Complete items 1 - 3, enter existing operating permit number, note proposed or completed changes in the appropriate sections, and complete the owner certification on page 2. Include a copy of the construction plans & specs submitted to the building department (electronic copy is acceptable) and a copy of the building department's final inspection approval. Provide design engineer's name and phone number in REMARKS. For Transfer: Complete items 1 and 2, enter existing operating permit number, then note changes in the page 2 owner remarks section, and complete the owner certification on page 2. There is no fee or building plans required for a transfer permit reissued due to change of ownership, name of facility, phone number, or mailing address. For Renewal: Complete items 1 and 2, enter existing operating permit number, and complete the owner certification on page 2. There is an annual operating permit fee charged for renewal. DH 4159, Eff. 10/14 (Obsoletes DH916 7/08 and DH918 5/12 editions) 64E-9.001, F.A.C. Page 2 of 2