HomeMy WebLinkAboutSUBMITTED PAPERS_. b
OFFICE USE ONIJ.
DATE FILED: [[fin
PLAN REVIEW FEE: RECEIPT NO.:
CONCURRENCY FEE: • RECEIPT NO.:
2.
3.
4.
5.
9.
10,
11.
12.
13.
14.
16.
PERMIT NUMBER: 150 ` _ b p
CERT. CAP. NO.:
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Avenue .
Ft. Pierce, FL 34982-5652 q/y
772-462.1553 Sj 4Uc/eCO
p
APPLICATION for BUILDING PERMIT 110,
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
LOCATION/SITE
PROJECT NAME:
PROJECT INFORMATION
SITE PLAN NAME:
PROPERTY TAX ID #: -v Of LV`Y' LYJUd
LEGAL DESCRIPTION (attach extra sheets if necessary):
PLAT BOOK 6. PAGE NO.
PARCEL SIZE (ACRES/SQ FT.):
OF
SETBACKS (ACTUAL) FRONT:
r4 1-4,wL14I(IN
8. LOT NO.
LOT DIMENSIONS:
WORK
BACK: V RIGHT SIDE: 1�Z LEFT SIDE: 100
TYPE OF CONSTRUCTION (Check all appropriate boxes)
�Q NEW CONSTRUCTION [ ] EXPANSION/ADDITION
[ ] RESIDENTIAL [ ] COMMERCIAL
[ ] OTHER (SPECIFY)
DESCRIPTION OF PROPOSED USE:
[ ] INTERIOR RENOVATION
[ ] INDUSTRIAL
SQ. FT OF CONSTRUCTION: &?'70 15. SF. FT 1st FLOOR:
VALUE OF CONSTRUCTION: $
OWNER INFO
NAME:
STATE:
ZIP:
PHONE (DAYTIME): Email:
r t.
IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE
FILL IN NAME AND ADDRESS BELOW.
FEE SIMPLE TITLEHOLDER:
ADDRESS:
CITY: STATE: ZIP:
PHONE (DAYTIME): ()
CONTRACTOR INFORMATION
ST. of FL REG.CERT # li I t U [ V � ST
BUSINESS NAME: � T
QUALIFIERSNAME:i 7. Jj
CITY: ^ STATE:
PHONE (DAYTIME): y/59 FAXNO
n
ARCHIT/ENGINEER:
i 110%L
CITY: VU,Y () 0
PHONE (DAYTIME):
BONDING COMPANY
ADDRESS:
CITY:
MORTGAGE LENDER:
ADDRESS:
STATE:
STATE:
COUNTY CERT #:
ZIP:
ZIP:
ZIP:
CITY: STATE: ZIP:
IMPORTANT NOTICE: When a permit is issued and it is not picked up within 60 days after notification
it will be voided and returned to you by mail.
CERTIFICATION:
This application is hereby made to obtain a permit to do the work and installations as indicated, and to obtain a certificate of capacity,
if applicable, for the permitted work. I certify that no work or installation has commenced prior to the issuance of a permit and that all
work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits
may be required for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS,
AND AIR CONDITIONERS, FENCES, ETC., not otherwise included with this building permit application.
St. Lucie County makes no representation that its granting of a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Homeowner Association rules, bylaws or any covenants that may restrict or prohibit such
structure. Please consult with your Homeowner's Association and review your deed for any restrictions which may apply.
The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory
structures (all types), swimming pools, fences, walls, signs, screen rooms, utility substations & accessory uses to another non-
residential use.
NOTICE TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOBSITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
NOTICE TO APPLICANT: IF IT IS NOT YOUR RIGHT, TITLE, AND INTEREST THAT IS SUBJECT TO
ATTACHMENT: AS A CONDITION OF ISSUANCE OF THIS PERMIT, YOU PROMISE IN
GOOD FAITH TO DELIVER A COPY OF THE CONSTRUCTION LIEN LAW NOTICE TO
THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT.
STATE OF FI
COUNTY OF
The foregoing instrument was acknowledged before
i
me —this t.D d y of 20
by! 1
who ,isprspnally known T o has produced
Commission
STATE OF FL
COUNTY t b= s /
The foregoing instrument was acknowledged before
me this day o 20�,
who isAiersonally known X or has produced
as
of
FARA D
Commission ®� ;n
EXPIRES octob%r 28,
NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLM111"OR
THIS BUILDING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY APPEAR TO SIGN
THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION.
OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNERBUILDER APPLICANTS.
For specific instructions see appropriate permit checklist.
OFFICE USE ONLY BP #:
SECTION
TOWNSHIP
RANGE
MAP NO.
ZONING
LAND USE
LOT CVG %
TAZ NO.
FLOOD ZONE
FIRM MAP #
18T FLR ELV
MAX HOT
CONST TYPE
OCCUP TYPE
MAX OCCUP
# OF FLRS
WATER
SEWER
SPRINKLERS
STORMWATER
LOT OF REC
Before 1/1990
LOT OF REC
After 1/1990
LOT SPLIT
REQUIRED
LOT SPLIT
APPROVED
REPORT
CODE
HABITABLE
AREA
(ILADON)
RADON
FEE
PERMIT
FEE
LIBRARY
IMPACT
FEE
PUBLIC BLD
IMPACT FEE
CORRECTION
PUBIC BLD
IMPACT
FEE
GENERAL
PARKS
IMPACT
FEE
SCHOOL
IMPACT
FEE
ROAD
IMPACT
FEE
CREDIT
Y
FN
LAW ENF
IMPACT
FEE
FIRE/EMS
IMPACT
FEE
DRIVEWAY
REQUIRED
Y
N
DRIVEWAY
FEE
ADMINISTRATIVE
VARIANCE FEE
SPECIFY
SUBS
REQUIRED
MECHANIC _ ROOF
ELECTRIC GAS
PLUMBING _
NON -CONFORMING
LOT OF RECORD
FEES
MISCELLANEOUS
FEES
DATE SENT TO ADDRESSING:
REVIEWS
FRONT
COUNTER
ZONING
REVIEW
SUPERVISOR
REVIEW
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
RECEIVED
`
U J IV
DATE
COMPLETED
INITIALS
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
Phone:(772(462.2172 Fax:(772)462-6443
REVIEW COMMENTS
Address: 3806 Sunrise Blvd Owner(s):
Rhonda Wigglesworth / Tim
City / State / Zip: Fort Pierce, FI 34982 Wigglesworth
Parcel #: 2433-134-0002-000/2 Jurisdiction: SAINT LUCIE COUNTY
Zoning: RS-3 Lot#: Block:
APPLICATION INFORMATION
Permit Number: 1506-0153 Stories:
Permit Type: POOUSPA - RESIDENTIAL
Contractor Name: James T Leonard
Business Name:
A & G Concrete Pools Inc
Business Addr:
410 Saeger Ave
City / State / Zip:
Ft Pierce, FI 34982
REVIEWS AND COMMENTS
1
Automatic Sprinkler System? No
Fax Number: 772467-1624
Review Tvp Status Reviewed By
Date Started
DOCUMENTS MISSING PENDING Lashahna Ingram 612312015
6/2312015 Comment: VEG PERMIT IN DRAWER UNDER "W"
ENVIRONMENTAL REVIEW COMPLETE Ben Balcer
Comment:
FRONT COUNTER REVIEW
Comment:
PLANS EXAMINER REVIEW
7114/2015 Comment:
7/14/2015
7/14/2015
Comment:
Comment:
COMPLETE Dawn Milone
Email: Tmcghee@Angpoels.Com
Date Completed Date Released
6119/2015
6/912015
6119/2015
619/2015
INCOMPLETE William Durden 7/14/2015
PLEASE FURNISH THE HEATER SPECIFICATIONS MEETING THE REQUIREMENTS OF THE 2010 FLORIDA
ENERGY CODE
PLEASE FURNISH THE HEATER PRODUCT APPROVALS.
PLANS DO NOT SHOW PIPING OR ELECTRICAL DIAGRAM FOR HEATER. PLEASE CORRECT AND RESUBMIT
UPLICATF SIGNFD ANn SFAI Fn
7/14/2015 Comment: PLEASE FURNISH PRODUCT APPROVAL FOR THE SAFETY BARRIER.
ZONING REVIEW COMPLETE Jeffrey Johnson 6/10/2015 6/1012015 6/1012015
Comment: II�
OFFICE USE ONLY: is
DATE FILED: I /� PERMIT
REVISION FEE.v »/ RIZCEIP T# ��
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATION DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 FAX (772) 462-1578
I
2.
3.
4.
LOCATION/SITE
ADDRESS: 3806 SUNRISE BLVD
DETAILED DESCRIPTION OF PROJECT
REVISIONS: n
STATE of FL REG,
BUSINESS NAME:
NAME: '°�
ADDRESS:
CITY:
PHONE:
5. ARCHITECT/
NAME:
ADDRESS:
CITY:
PHONE (DAY
Revised 07/22/2014
CPC1
INFORMATION:
STATE:
FAX:
STATE:
# 1506-0153
#: 25959
Zf `1 O
FAX:
ZIP:
JOSEPH E. SMITH; CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY
FILE k 4079070 OR HOOK PAGE 136, Recorded 06/09/2015 at 1 ' b AM
NOTICE OF COMMENCEMENT
To be completed when construction exceeds S2,500.00 (57,500 Mechanical )
PERMIT NO.
TAX FOOD NO.SNcVl�/�H.L
STATE OF FLO D '
COUNTY OF _ _ __________
The undersigned hereby gives notice that improvement will be made to certain real property, and in
accordance with Chapter 713 Florida Statutes, the following information is provided in the Notice of
Commencement:
Legal Description: ( Include street address if available ):
General Description of Improvements: _-wimTT ing�P,o3Y3tr<it� 11Crete Dec
Owner Information or Lessee Information, If the Lessee Contracted for the Improvement:
Na
Address: �7X,5¢_LJlSJ�[/ ��74Z--- iD�----
Interest in Site of Improvement: Fee. Simple
Fee Simple Title Holder (if other than owner)
Contractor:A & G Concrete Pools 410 Saeger Avenue Fort Pierce, FL 34982 772-878-7752
Surety: (If applicable, a copy of the payment bond is attached):
Name and Address: ---- —--- ___--------------- _------- —_______.
Phone Number__ __Amount Of
Address:
Persons within the State of Florida designated by the owner upon whom notices or other documents may be
served as provided by Florida Statutes Section 713.13(1)(a)(7):
Number
In addition to himself, Owner designates __ —_of to receive a copy
of the Llenor's Notice as provided In Section 713.13 (1) (b ), Florida Statues:
Phone number of person or entity designated by Owner ________—_---- _—_
Expiration date of notice of commencement ( the expiration date may not be before the completion of construction and final payment
to the contractor, but will bei year from the date of recording unless a different date Is speci0ed.__
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.73, FLORIDA STATUES AND CAN RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THEJOB
5ITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penairy of perjury, I declare that I have read the foregoing and that the fact, In It are true to the best of my knowledge and belier. (SeNorQ.52S.
n " ,Statute
L
SIL To LOS pWNg00. E55 FaO0. oWN RLESSEESaI1M OORICER/gRECi00./MANRLER(IARLNE0.
_ o �r
eR NAME AND PRONDE TRLE �TJ
State of Florida, County of }
Acknowledged before me this,5____ day of JJ(At�-�_, 2015 by 1 4L`w kLCl� CLS�
4p,ovd
for----Who is personally know tomer has
_ ________—_ _—______ as idea -re .NANDEZ
OFF172aie
r2B,201a
Stamped, printed, or Typed Name of Notary
OR BOOT: 3755 PAGE 137
Erb ,b& A
LEGAL DESCRIP7ON (PARENT TRACT):
A PARCEL OF LAND LYING WITHIN 77fE SOUTH ONE—HALF OF THE NORTHEAST ONE—OUARTER OF
SECTION J3, TOWNSHIP 35 SOUTH; RANGE 40 EAST, ST. LUCIE COUNTY, FLORIDA, SAID PARCEL
BEING MORE PAR77CLILARLY DESCRIBED AS FOLLOWS.'
COMMENCE AT THE NORTTEAST CORNER OF THE SOUTHEAST ONE—OUARTEI7 OF SAID SECTON 33,
THENCE, NORTH 8809`16"'WEST; ALONG THE NORTH LINE OF SOUTH ONE HALF (112) OF TH£
NORTHEAST ONE QUARTER (114) OF SAID SECTION 33, A DISTANCE OF 69203 FEET TO 7HE
POINT OF BEGINNING,• THNCE CON77NUE NORTH 8809'16" WEST, ALONG SAID NORTH LINE. A
DISTANCE OF 1286.04 FEET TO THE EASTERLY RIGHT —OF — WAY LINE OF SUNRISE BOULEVARD;
THENCE SOUTH 4072107': EAST, ALONG SAID RIGHT—OF—WAY LINE, A DISTANCE OF 377. 77 FEET -
THENCE SOUTH 88'09'16" EAST, A DISTANCE 1040.20 FEET,' 7HENCE, NORTH 002255" EAS.! A
DISTANCE OF 28D. 63 FEET TO THE POINT OF BEGINNING.
LEGAL DESCRIPTION (PROPOSED PARCEL 1):
A PARC.!Z OF LAND L 17NG WITHIN THE SOUTH ONE—HALF OF 7HE NORTHEAST ONE —QUARTER OF
SECTIDA" 33, TOWNSHIP 35 SOUTH, RANGE'4O EAST, ST LUCIE COUNTY, FLORIDA, SAID PARCEL
BEING M9RE PARTICULARLY DESCRIBED AS FOLLOWS'
COMMCA;,'E A ITHE NORTHEAST CORNER OF THE SOUTHEAST ONE —QUARTER OF SAID SECTION 3J
THENCE, NOR78 8809'16" WEST, ALONG THE NORTH LINE OF SOUTH ONE HALF (1,12) OF THE
NORTHEAST ONE QUARTER (114) Of' SAID SEC77ON 33, A DISTANCE OF 69203 FEET TO THE
POINT()." BEGINNING; 7HNCE CONTINUE NORTH 8809'16" WEST ALONG SAID NORTH LINE, A
DISTANT - OF 1286.04 FEET TO THE EAVERL Y RIGHT—OF—WAY LINE OF SUNRISE BOULEVARD,•
THENCE SOUTH 4072'07': EAST, .ALONG SAID RIGHT OF --WAY LINE, A DISTANCE OF 107.64 FEET;
THENCE iOUTH 88'09'16" EAST ALONG A LINE 80.00 FEET SOUTH OF AND PARALLEL TO THE
SAID Nr 1.?TH LINE OF 7HE SOUTH 112 OF THE NORTHEAST 114 SECTION 33, A DISTANCE .OF
524.94 r EFT' THENCE, SOUTH 01:50'44" WEST A DISTANCE OF 200.39 FEET,• THENCE SOUTH
8809Y6" EAST A DISTANCE OF 695..29 FEET' THENCE NORTH 00'2255' EAST, A DISTANCE OF
280.63 / EET TO 7HE POINT OF BEGINNING.
STATE OF FLORIDA
ST UCIE COUNTY
SISTOCERTIFY THATT SISA
AND CORRJ,CT GOP T�At
CLERK
Date:JUN 0 9 Z015
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
A & G CONCRETE POOLS, INC. will be using the following sub -contractors for the
(Company/Individual Name) ,
projectlocated
(Street address or Property Tax ID #)
It is understood that if there is any change of status regarding the participation of any of the sub -contractors
listed below, I will immediately advise the Building and Zoning Department of St. Lucie County.
Trade
Name of Company/Contractor
St. Lucie County/
State of Florida
License Number
Electrical
646
Plumbing
A & G CONCRETE POOLS, INC.
25959
CPC1457902
HVAC/
Mechanical
Roofing
Gas
OFFICE USE ONLY:
PERMIT ISSUE DATE:
NUMBER:
Revised 07/29/2014
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462.1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described
(Parcel Id#/Legal description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number . I acknowledge
that as owner of the above described property, and in accordance with Section
7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring
adequate drainage so that the immediate community WILL NOT be adversely affected.
I further acknowledge that in granting this permit for the development of this property,
St. Lucie County is neither obliged nor liable to provide for, or maintain in any form,
adequate drainage off my property which will not adversely affect the immediate
community.
W
t
Name (PI se rint) Signature Date
STATE OF FLORIDA, COUNTY OF
F
DAYOF MLA) A) , 201S
HO IS PERSONALLY KNOWN TO ME _ OR WHO HAS
AS IDENTIFICATIOI
COMMISSION NUMBER
FARA D HERNANDE2
4y ti`8 MY COMM §!�� u FF772419
•,EXPIRES otober28,2018
SLCPDSD Revised 08/24/2010
PERMIT# I I ISSUE DATE II
�1 PLANNING &DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB-CONTRACTORAGREEMENT
St. Lucie County Contractor Certification Nurfi et. 1 $Q 2.
State of Florida CertificadonNutnberprappumble): EC+ 000 ts(pq
r- I ' - t r _
of Trade) i
For the project located at
agreed to be the
i uuu� ��umnJ //►►(�^ I�
Sub-cantractorfor_
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a
Change of Sub -contractor notice. (Form: SLCCDV (No. coo-oo)
BUSINESS QUALIMR (Name of the individual shown an the Contractor's License)
NOTARIZED SIGNATURES ARE REQUIRED
{
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: 25959
State of Florida Certification Number (If applicable):
A & G CONCRETE POOLS, INC.
(Company Name/Individual Name)
PLUMBING
(Type of Trade)
For the project located at
CPC 1457902
have agreed to be the
Sub -contractor for A & G CONCRETE POOLS, INC
(Primary Contractor)
Address or Property Tax ID
It is understood that, if there is any change of status regarding our participation with the above mentioned
project, I will immediately advise the Building and Zoning Department of St. Lucie County by filing a
Change of Sub -contractor notice. (Form: SLCCDV (No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
NOTARIZED SIGNATURE SARE REQUIRED
Business Name: A 4 G Co n c re-JoPoo I5, Inc .
Address: 410 SAEGER AVENUE
City/State/Zip: FORT PIERCE, FL 34982
Phone: 772-878-7752 email: fhemandez@angpools.com
JAMES T. LEONARD 1P_ 5_V5
SIG E PRINT NAME DATE
STATE OF FLORIDA COUNTY OF ST. LUCIE
THE �I ENTniS SIGNED
DAY OF AS�b1 WHO OR HAS
AS IDENTIFICATION.
SIGNATURE OF NOTARY PUBLIC
SLCPDS: 08/06/2014
MR1 iq HERNANDEZ
MY COMMISSION #FF172419
EXPIRES October 28.2018
l I
s g PLANNING & DEVELOPMENT SERVICES DEPARTMENT
® Building and Cade Regulations Division
2300 VniGINIA AVE
FORT PIERCE, FL 34982
(772)462-1553
AFFIDAVIT OF REQUIREMENT COMPLIANCE
Residential Swimming Pools, Spa, and Hot Tub Safety Act
PERMIT N
�(We Oeknowledge that a new mining pool, spa, or hot tub will be constructed or installed at
, O LA rise V and hereby affirm that one of the following methods
(Please print street address)
Will be used to meet the requirements of Chapter 515, Florida Statutes: (Please initial the method used for pool.)
The pool will be isolated from access to the home by an enclosure that meets the pool barrier requirements of Florida Statute 515.29.
The pool will be equipped with an approved safety pool cover that complies with ASTM F1246-91(Standard Performance Specifications for
Safety Covers for Swimming Pools, Spas, and Hot Tubs).
All doors and windows providing direct access from the home to the pool will be equipped with an exit alarm that has a minimum sound
pressure rating of 85decibels at 10 feet
All doors providing direct access from the home to the pool will be equipped with self closing, self latching devices with release mechanisms
placed no lower than 54 inches above the floor or deck.
I understand that not having one of the above installed at the time of final inspection, or when the pool is completed for contract
purposes, will constitute a violation of Chapter 515, F.S., and will be considered as committing a misdemeanor of the second degree,
punishable by fines up to $500.00 and/or up to 60 days in jail as established in chapter 775, F.S.
I understand that the St. Lucie County Building Inspections Department assumes no liability for the final inspection of one of the
above protective devices, or the lack of maintenance, or the removal of such after the swimming pool has been finalized.
I, the contractor, agree to instruct the owner of the
PUBLIC
The foregoing instrument was ackno led d before me
this�—ff_day of _ 20f2
Personally Known Y\- or Produced Identification
Type of Identification Produced:
1
ix.. ,n`r' FARA D HERNANDEZ
MY COMMISSION #FF172419
y. of
SLCPDS Revise 041.1A & . EXPIRES October 28, 2018
(40r) 3"9'"15a Floridallotarysemice.com
safety device.
NOTARY
The foregoing instrument was aclmow ed d before me
this day of 20 J5
by
Personally Known or Proodduucce Identification,�
Type of Identification pros uced:r [�
ft16" FARA D HERNANDEZ
3 s 7 MY COMMISSION#FF172419
?' of
EXPIRES October 28, 2018
(407) 39 0153 FloridallotaryService.mm
t)ATE:
103 NUMBER:
PERMir NUMBER:
CLIENT:
CONTRACTOR:
J013 LECTAL:
JOB AVDR£SS:
COASTAL 7;ESTTNQ LABORATORY, LLC
post Offlc& bov 2023
paLvwCtty, FL 34991-2023
772.220.6688
COMPWrrON rZsr96P(7Rr
,4STM D 6938-10
Au#.4t'21, 2015
15-0839
1506-0153
A & G Poolk
N/A
3806 Suvu-i4&13cudevard,
FortP6ercz, FL
SOIL CLASSIFICATION Er REMARKS: A3 F6rwvbrowvvsa.n.dy soa
TEST SAMPLE LOCATION: 10' IS LR Corner -Center of Pads -10' IS RF Corner
1) 102.2
2) 102.0
3) 103.4
Re-spectfi ySulnn;.tted,
Ernesto•Vekvdco; P.E.
Magw,nu mDrv'Devu;ty
103.8
103.8
103.8
%Comps ctEow
98.4
98.2
99.6
RECEIVED AUG 25 P015�
zoo12
T69TL999LL XVd ST:TZ STOZ/TZ/90
y� COAS-rAL TESTING LABORATORY, LLC
postO ff6cpiBow 2023
Pa *mCUy, FL 34991-2023
772.220.6688
A10IS7Z(RF VE"NSI7Y REM rMAISlIfF
1)A7'': Aagwt21, 2015
coNr12Ac7'OR: A & 0 Poo?*
JOB NUMBER: 15-0839
pmMIr NUMBEIZ:1506 -0153
112
Z 102
0
WiI+]
m
ASrM D 1557-12
8 10 12 14
Moisture— Percent of Dry Weight
coo in I6STL9ZZLL YU ST:TZ 2TOZ/TZ/90
COASTAL TESTING LABORATORY
P.O. BOX 2023
PALM CITY, FL 34991-2023
OFFICE 772 220-6688
FAX 772 287-1591
FAX COVER SHEET
SEND TO :� n. '^u_ ,ti s +g
. i` IY`+N4 C•: NM,1-1. �'. Ih i f :3."'Sy.�Yrfl" 'l W �C -AY IYY.r'1•i� 4MY iWS
From
SAINT LUCIE COUNTY
Attention Dafe
BUILDING DEPT.
Office location Office location
Faxnumber Phone number
Urgenf RepIy ASAP ❑ Please comment 11 Please review 1:1Foryourinformafion
Tota/pages, Including cover.
T0012 T62TL999LL YVA fiT:TZ STOZ/TZ/90
COASTAL TtSTTNG LABORATORY, LLC
PostO{fi c&Bow2023
PaUwCUy, FL 34991-2023
772.220.6688
FcF�GF
09Gc
C0MP,acrroN TrsrREMRr �s10
ASr 1 D 6938-I0
DA7'E: Augtot21, 2015
JOB NUMBER: 15-0839
PERMIT NUMBER: &D-6-Q35�3,
CLIENT: A Cr Ci PooLk
CONTRACTOR: A Er Q PooLk
JOB L£CIAL: N/A
JOB ADMESS:. „ .. 3806 Su*-wtwBouleva -&
WtfPierce, FL
SOIL CLASSIFICATION Er REMARKS: A3 F&-vwbrown sandy soa
TESr SAMPLE LOCATION: 10' IS LR Corner - Center of Pa& -10' IS RF Corner
1) 102.2
2) 102.0
3) 103.4
.Respectfu Stamm ed,
Ernest&Vela4c o-, P.E.
Maxuvru 'DaDevvaf�y
103.8
103.8
103.8
%Cgi"pa.cLunv
98.4
98.2
99.6
(0 KI
COASTAL TESTING LABORATORY, LLC
CL post O fic&baw2023
PaZmCity, FL 34991-2023
772.220.6688
meets GIRT DENSI7YR£L74 72jOVUS7YfF
DATIE: Augtot21, 2015
CONrF.AcrOR: A £r Ci PO&Lk
JOB NUMBER: 15-0839
i'ERMlr NUMBER:1506 -0153
112
0 110
0
LL
V
108
u
v
a
106
J
Al 104
N
C
Gl
0
102
0
100
m
ASrM D 1557-12
8 10 12 14
Moisture — Percent of Dry Weight
DATE:
JOB NUMBER:
PERMiT NUMBER.:
CLIENT:
CONTRACTOR:
JOB LEGAL:
JOB ADDRESS:
COASTAL 7-ESTING LABORATORY, LLC
PostO ffi c& Bow 2023
i aLvwCity, FL 34991-2023
772.220.6688
cOA.fP,rcrrON rtsrREPOR
4S%M D 6938-I0
Augwt21, 2015
15-0839
1506 -0153
• Fr (i Roots -
A Fr Cl Poota'
N/A
3806 SunrC-S&Bouievard,
FortNerce, FL
SOIL CLASSIFICATION Er REMARKS: A3 F%rovbrowwsafndy soil
TEST SAMPLE LOCATION: 10' IS LR Corner - Ceviter of Pads -10'7S RF Corner
1) 102.2
2) 102.0
3) 103.4
lZe4pectAac y Subm tted,
&Z,070,- CwCA
£rne4tc-veia4ca, P.E.
103.8
103.8
103.8
%Co4a.ct'uyw
98.4
98.2
99.6
(� COASTAL TESTING LABOIZArORY, LLC
S , Post O{fic&Baw2023
PatmCity, FL 34991-2023
772.220.6688
IfOISTCIRE DEAISITY REZ.4TIOiVSfffP
DATE: August2l, 2015
CONrRAcroR: A &r Q P00 *
JOB NUMBER: 15-0839
PERM17'NUMBBR:1506 -0153
112
0 110
0
LL
U
108
U
L
Ol
n 106
J
y 104
c
v
102
0
100
M.
AS7-M D 1557-12
8 10 12 14
Moisture — Percent of Dry Weight
10/01/2015 10:52
#1533 P.001/002
3M
Date:
Time of job:
Customer Name:
Del!very Address:_
City:
Project Name:
elered and Mixed
772.466.!
Ovitz Road, Ft. P
E
BETE o Mc
)GIES ClVISA
Fresh On -Site' _
070 O AMEX
area, Florida 34981
Cubic yds. ordered:
P.O.#:_—Md 1LJ
YARDS —FIAXDEX
USED
REG Uho
P
PEA ROCK
057167
PRICE
PER YD
AMOUNT
HIER AD MIX
OTHER
TIME
ON dos
TIME
STARTEt
TIME
FINISHED
DELIVERY
CHARGE
TRUCK
O.T. FEE
10 Minutes o
unloading fore
$1.00 per Mini
FREE
ery yard,
fte After
SHORTLOAD
ELSURCHARGE
ENVIRONMENTAL
SUBTOTAL
TAX
TOTAL DUE
REMARKS:
Purchaser assumes full re
changing the calibration of
I, the undersigned, will ass
inside of the curb_
Customer X:
Meter Reading:
airy for
rock or t
slump and quality of concrete when
other material requested an the job,
r any damage where delivery is made
Driver:
TrucX Number. v �'
F ENO
Ll' �D
RECEIVED OCT 012015
a
MOBILECRE7 E MOBILECRETE
TECHNOLOGIES 0 MC TECHNOLOGIES . 0 MC
Metered and Mixed Fresh Dn•Site 0 VISA Metered and Mixed Fresh On -Site - - O VISA
772.466.5070 Q AMEX 772.466.SD70 Q AMEX
3825 Selvitz Road, Ft. Pierce, Florida 34981 3825 Selvitz Read, Ft. Pierce, Florida 34981
Date: C Cubic yds. ordered: �y Dater °1 Cubic yds. ordered:,
Time of job: -t1_ Time of job: [ !
Cuslomi
Delivery
City:
v
�Project P
YARDS MIX DE;%
USED REG UMP
PEA ROCK
457167
PRICE
PER YD
AMOUNT
FIeERi OM1X
OTHER
ME
ON JOB
TIME
STARTED
TFME
FINISHED
DEUVERY
CHARGE
TRUCK
O.T. FEE
'
10 Minutes of FREE
unloading for every yard.
$1.00 per Minute After
SHORTLOAD
FUELSORCHARGE
ENVIRONMENTAL
TAX
TOTAL DUE
REMARKS:
Purchaser assumes full responslbtlity, for strength, slump and quality of concrete when
changing the calibration of sand, rock or water, or other material requested on the job.
% the undersigned, will assume all responsibillty for any damage where delivery is made
� inside of the curb.
N
of customerX- Driver: (
` l
Meier Reading: . Truck Number:
Customer Name: j i �_ D Phone:
Delivery Addresp:
City:
Project Name: �-••J` •o.j vcl ' P.O.t6:,
YARDS
USED
MIX DEIGN
REGLTUMP
PEA ROCK
fi57f67
I PRICE
1 PER YD
.AMOUNT
F18E IADMIK
OTHER
ME
ON JOB
TIME
STARTED
TIME
FINISHED
DELIVERY
CHARGE
TRUCK
O.T. FEE
'
10 Minutes of FREE
unloading for every yard.
$1.0€} er Minute After
SHORTLOAD
FUELSWCHARGE
DrnlzaNNelrAL
TAX
/ 6
TOTAL DUE
REMARKS: r U
1 -
Purchaser assumes full responsibility for strength, slump and qualily of concrete when
changing the calibration of sand, rock or water, or other material requested on the job.
I, the undersigned, will assume all ponsi Ity for any datnage where delivery is made
Inside of the curb.
CustomerX: Driver: �)
Meter Reading: _ ..Truck Number. 4
00/27/2015 13:49
r,.
Aug 27 2015 5:14PM HP Fiax
page 1
#1037 P.001/001
ll� We,wvY�l-4�.
Planning ik Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, Fl. M962
772-462-23.72 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #:=3 JOB ADDRESS: 3S06 Sunti" Blvd, Ft Pioroa K 34962
BUILDER/CONY CTOR: A & c conorel9 Pools
PEST CONTROL CONTRACTOR: Hannan Environmental Services,Inc.
PEST CONTROL LICENSE #: IB99418
We, the undersigne
subterranean termll
Square feet if area
Percentage ofsolut
Date of Treatment:
_Footing
1st-
Re-
Driveway
1st'
NOW, There must i
site to be pki,W up
fee charged.
FSC104,2.6 Certffla
shall be provided to r
providing a copy for i
Cerdfltete shall provi
treated; chemical uss
profecvve treatment.
be comp/etedpriorI(
St Lude County r
the electrical par
hereby certify that we have pretreated the above described construction for
In accordance with the standards of the National Pest Control Association.
70 Ut
.125%
Chemicaisused: 'ennloorHE
Total gallons used: 14 Gale
Time of Treatment: e:4e A•M•
t-- � Slab
11� Treatment
Re -Treat
Pools
i°t Treatment
Re -Treat
erlme or section
W2712015
Sig re of Exte inator date
cvmp/eted form for each requfrmd treatment or re -treatment and this loan must be on the job
the inspector at time of each inspection or the scheduled Inspection will fall and a re-lnspection
L- of Protective Treatment for prevention of termites. A weather resistant)obs/te posting board
ceim duplicate Treatment Certlncates as each required protea*a treatmenC 44 c»mpleted,
ie person the permit is Issued to and another Copy for the building permit Ms. The Treatment
e fire pmduct used, Identity of the applicator, Cane and date of the treatment site location, area
t, percent concentration and number ofgallons used, to establish a verrflable record of
If the soil chemical barrier method for termite prevention is used, final exterlor treatment shall
Mal bullding approval.
:quires for the final Inspection for CO, a Permanent Sticker to be placed on
:I box cover, listing all the treatments and dates of application$,
LEGAL DESCRIPTION
A PARCEL OF LAND LYING WITHIN THE SOUTH ONE-HALF OF THE NORTHEAST ONE -QUARTER
OF SECTION 33, TOWNSHIP 35 SOUTH, RANGE40 EAST, ST. LUCIE COUNTY, FLORIDA, SAID
PARCEL BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS;
COMMENCE AT THE NE CORNER OF THE SE 1/4 OF THE NE 1/4 OF SAID SECTION 33, THENCE NORTH
88 DEGREES 09' 16" WEST, ALONG THE NORTH LINE OF THE SOUTH 1/2 OF THE NE 1/4 OF SAID SECTION
33, A DISTANCE OF 692.03 FEEF, TO THE POINT -OF -BEGINNING; THENCE CONTINUE NORTH 88 DEGREES
09' 16" WEST, ALONG SAID NORTH LINE, A DISTANCE OF 1286.04 FEET TO THE EASTERLY RIGHT -OF -WA'
LINE OF SUNRISE BLVD., THENCE SOUTH 40 DEGREES 12' 01" EAST, ALONG SAID RIGHT-OF-WAY LINI„
A DISTANCE OF 377.77 FEET; THENCE SOUTH 88 DEGREES 09' 16" EAST, A DISTANCE OF 104020 FEET;
THENCE NORTH 00 DEGREES 22' 55' EAST, A DISTANCE OF 280.63 FEET TO THE POINT OF BEGINNING.
FILE N09-10.15
3806 SUNRISE BLVD.
FORT PIERCE, FL
WIGGLESWORTH RESIDENCE
R) Ccp!x SEP 04106
.Mode
N50ti! 3 972
6350ti 42-1/2"
8350ti 42-1/2"
FER
4NECTION
3/4"'
r
v r,12-1/2'�—
34-1/2"
L 4-1/4°
srrea,y
� �I1
MODEL
R5350ti
R6350ti
R8350ti,
Heat BTUH Output
,000192,000
117,0001113,000
133,000/125,000
(80,80,80)-IAHRI 1160 (80,63,80)"
C.O.P.
6,2l6.0
6.2/6.0
5.5/5.2
Compressor
Scroll
Refrigerant
R-410A
Voltage
Minimum CircuitAmpacity
"
, A, 0_
208/23OV-1Ph-60Hz
42
42
Maximum Breaker Size (Amps)
I0
60
60
Electrical Input (kw)
3"
5.5
7.0
Heat Exchanger
"
Titanium
Water Flow (gpm)
1'S=60
15-60
15-60
Shipping Weight (lbs.)
302
310
358
•Tested outside the scope of AHRI 1160 --Tested to AHRI 1160 All models comply with Florida 4.0 minimum C.O.P. requirement.
Model Designation pD=Power Defrost
HC = Heai Cool
R = Raypak Brand 1163501:i-E-HC HS = Heat System
i E = Digital Control
3 = Classic Cabinet Design
ti =Tium Heat Exchanger N
5 = Model Revison
0 = 1 phase 20sim—
itan8230V r
3 = 3 Phase 208/230V r11
Swimming Pool and Spa .PegF.
f Ttia P ,antl 5 eaating Expp
erts"'
Heating Products
Heat Pump
Pool & Spa
Heater
n vY'.fY•.�.A�..
c us
<,imo
FOR YOUR SAFETY: Do not store or use gasoline or other flammable vapors and
liquids or other combustible materials in th.e.vicinity of this or any other appliance. To
doso may result in an explosion or fire.
NOTE; The instructions in this manual are for the use of qualified ndividuals specially trained and experienced
in the installation and maintenance of this type of equipment and related system components. Installation and
service personnel are required by some states to be licensed. Persons not qualified shall not attempt to install,
service, or maintain this equipment.
This manual should be maintained in legible condition and kept adjacent to the heat pump pool heater or in a
safe place for future use.
Catalog No. RM6000.552D Effective: 11-23-10 Replaces: 08-04-10F' U180M
92-103778-01-00
u 9
Model No.
VAC in - Phase - Hz
Minimum Circuit
Ampacity (A)
Maximum Breaker
Size (A)
6350/6350HC
208/230 - 1 - 60
42.0
60
8350/8350HC
208/230 - 1 - 60
42.0
60
208/230 - 3 - 60
34.0
50
Table A: Typical System Electrical Power Requirements
This unit is pre -wired to work with external control sys-
tems, heat -on -demand options and other external time
clock overrides. Refer to the external control system's
instructions, and page 27 of this manual, for installa-
tion information.
Water Connections
[CAUTION: The heat pump pool heater inlet and
onnections are NOT interchangeable. They
connected as instructed below.
1. Connect the heat pump pool heater in the return
water line between the filter and the pool/spa. See
the Plumbing Diagrams beginning on page 16.
2. Connect the filter outlet to the fitting marked
WATER IN at the bottom front of the unit.
3. Connect the fitting marked WATER OUT to the
return piping to the pool/spa. Unit inlet/outlet con-
nection fittings are 2-inch PVC unions.
Water connections from the unit to the main return
line can be PVC pipe or flexible pipe approved for
the purpose and, in either case, should be at least
equal in size to the main pool/spa circulation pip-
ing.
Fig. 2: Water connections
4. In cold weather (freeze zone) areas, shutoff valves
(ball or gate type) must be installed at the unit inlet
and outlet to facilitate service and cold weather
drain -down.
5. Operate the pump and check the system for leaks.
Pressure Drop
For system pressure drop information, refer to Table B
below.
Flow
_� Pressure Drop (psi)
(gpm)
5350
+� s 0_r _ ' .
6350/6350HC
8350/8350HC
30 (
6
9
40
—
9
9
50
10
10
70``-
12`
12
12
8013,,
/ �... �
13
13
Note: Multiply the pressure drop in psi by 2.3067 to yield the pressure drop in Ft.
Table B: Pressure Drop Across Heat Pump Pool
U
Fig. 1: Installation Clearances
When installed in areas where freezing tempera-
tures can be encountered, drain the water circuit
to prevent possible freeze-up damage. See the
Freeze Protection Section.
For high wind installation requirements, refer to
the diagram on page 8.
Electrical Connections
Refer to the unit rating plate below the control panel for
precise power requirements for your unit, and for
ampacity and over -current protection requirements.
All wiring must be in accordance with the National
Electrical Code, NFPA No. 70, latest edition, and all
applicable state and local codes. Wiring diagrams are
located on pages 21 through 26.
NOTE- Refer to the National Electrical Code, Article
680, for general requirements for swimming pools
and equipment, and to Article 440 forspecial consid-
erations necessary for circuits supplying hermetic
refrigeration motor/compressors.
Locate the equipment disconnect means within 3
feet of the heater's electrical enclosure, or as
close to the heater as possible. Always satisfy
applicable codes and standards.
In sizing power wiring, be especially aware of up -
sizing requirements necessary due to wiring
distances. Always satisfy applicable codes and
standards.
Electrical install
electrician only.
RE
FAN
RUSS
PAD BY OTHERS
MODEL
A
350
t3811'l2
6350
42-1/2
6350HC
42-1/2
8350
42-1/2
8350HC
42-1/2
FLORIDA BUILDING CODE 2007 WITH 2O09 REVISIONS
WIND SPEED=150 MPH. 3 SEC GUST
EXPOSURE=C
1.00
2. 0
ANCHOR BRACKET DETAIL
(SEE BRACKET HURRICANE
TIE DOWN DWG#7010D14)
DETAIL
MIN. EDGE
DISTANCE)
ANCHOR BRACKET
W/(1)-1/4 X 1-1/2 S.S.
TAPCON & WASHER @
EA. ANCHOR BRACKET
(6 REQD)
ANCHOR BRACKET
W/(1}1/4 X 1-1/2 S.S.
TAPCON & WASHER @
EA. ANCHOR BRACKET
(6 REQD)
MIN.
3" MIN. CONCRETE
PAD BY OTHERS
U
Plumbing Diagrams
Fig. 6: For systems with pumps of less than 2 HP (under BO gpm), no external
bypass is required. Connections are 2-inch unions. Plumb the heat
pump pool heater AFTER the filter and BEFORE any chlpuinatorg.
17 rILr
•
Wiring Diagram
208V/230V
Single -Phase
Digital Models
INSERT A
ALTERNATE
FAN MOTOR
PR
FAN
p"
FORRWMOTOR..21p232 MOTOR
FMB Pme2T0EQ
OR
a
USECOPPERCCVDVO7OR
OMY
USE75-C
TORQUE
WDV WIR.
SCRMS:4 IN1
w
c
F J d
M
COMPRESSOR s
q
Q
FAN RR
MOTOR
SEEWSEA1A
cou _sQ
RL
INSERT R
22
Life Saver Pool Fence Systems, Inc.
Removable Pool Safety Mesb Barrier Fencing Technical Specifications
Life Saver Pool Fence Systems, Inc. has manufactured removable pool safety fencing
for over 13 years and has continuously evolved their methods and materials, often -time
leading industry wide changes. A Manufacturer's Lim ted Lifetime Warranty guarantees
everysyAem,foz as.,long as. they own it. LifeSaver..Priol Fenee•meets and exceeds all
code requirements throughout Florida. Below you will find technical specifications on the
components used in assembling the Life Saver Pool Fence.
Textilene Mesh
Textilene mesh has been used as the highest quality material to the pool fence industry
for over 15 years. Laboratory testing shows its strengths to surpass all code specifications
and applicable ASTM standards.
.-....ItemrNT1mb-ar---'-_.._. - .... - .. T70.DFS
Product Description:
Fabric using .025" dia,
and fill.
vinyl -coated 10.00 den. polyester core yarns in the warp
Construction, end/inch
D3775-96
13.0 + .5
Weight, ozlydz
D3776-96
—
Tensile 'Strength (grab), Ibf
D5034-95
221.4
Tensile Strength (strip), Ibf
D5035-95
194.9
Tear Strength, (frapezodial), Ibf
D1117-97
65.4
Ball Burst, lbf
D3787-89
Bursting Strength, psi
D3786-89
Elongation, %
D5035-95
24.3
Abrasion Resistance
D3884-92
(CS10/500 cycles/ with no added weight)
Flammability Rating
Weatherability, 1200, hours
G53-96
11.0 + .5
213.3
153.8
54.0
335
433
21.6
No exposure of core yam
CS-191-53 & CA 117E
No discoloration
Mildew Resistance G21-96 Nog rowth
n
The above results are a representative of real data from single test samples.hy
u
Presently no specification is incorporated. on
94
Warp refers to the borizontal threading while fill refers to the vertical tieadi at . As'"J
shown; all testing confirms Textilene mesh meets and, on all strength firsts, amply s i-4
exceeds the set code requirements.
i.J
LIFE SAVER POOL FENCE SYSTEM SPECIFICATIONS
General Description:
Pool fence designed specifically to provide a barrier around residential swimming pools
for toddlers and young children. Life Saver Pool Fence Systems ® does not have any
gaps, openings, indentations, protrusions, or structural components that could allow a
young child to crawl under, squeeze through;; or climb -over-the-barrier. Our exclusive
Perma Locking System will not allow the barrier to be removed without the aid of tools.
Life Saver Pool fence is manufactured and installed in compliance with the Florida
Building Code R4101.17.1.1 through R4101.17.1.14 and the Florida Statute 515.29.
System:
Tension based system utilizing a series of 15 foot sections offence with inserts for
mounting in non -conducting polypropylene sleeves core drilled 4 inches deep into a
concrete deck or other substantial surface, connected in series at the top witb our
exclusive 21/2 inch Perma Locking System.
Construction:
Mesh: Polyester mesh fabric with a mildewresistantpolyvinyl coating to provide for
years of use in direct sunlight
Continuous basket weave with a tensile strength rating of 270 lbs. Per inch
making it impossible to rip under normal use.
Color selection is black, white or green. Available in 48 or 60 inch heights_
Bordered on all four sides by a reinforced vinyl material with a rating of 387
lbs_ To prevent sagging and provide the necessary tension to insure the fence's
integrity for its intended purpose both at the top and bottom_
The mesh is premounted on aluminum support poles and secured by aluminum
cove molding strips.
Poles: Poles are constructed of marine grade aluminum, black, white or green powder
coated or silver finish_
Pole spacing is at 36 inches.
Stainless steel screws (14) are utilized for securely attaching the aluminum cove
molding to the poles and mesh.
Surface of the poles are finished for handling and to prevent injuries from
physical contact.
The poles are capped to provide a neat finished appearance.
Revised 030608
BD�PJ{IFEL�MKETB
I�IUist RN
IM 1997
Spoda Poly mnn Unluu Alominlua
W tm_bpitp Huy Will (undml&)
--- --I In 1984 we found that bubble pack
wrapping could be used for swimming
pool covers. We added special polymers
to our plastic for strength and durability
*° and Solar Blanket was born.
In 1997 our team added a layer of
aluminum to our Solar Blanket that
increased its reflective value, increasing
heat retention. The Space Aged' Solar
Blanket was born.
In 1999 our team set out to improve our
Space AgeD' Solar Blanket. We
understood that by decreasing the
space between cells, we could increase
the insulatlon factor. New templates
were created and Diamond BubbleD'
was born. Shaping the cells like
diamonds instead of circles decreased
the space between cells and increased
the Insulating effectiveness. And after
all, diamonds are a girl0s best friend.
Home I About Us I Products
Distributors I Contact Us I Innovations
Online Warranty Registration
http://www.midwestcanvas.coliVin_diamond.html 4/9/2015
Place
Stamp
Here
MIDWEST CANVAS CORPORATION
WARRANTY DEPARTMENT
4635 W. Lake St.
Chicago, IL 60644
Installation and User Instructions
SOLAR BLANKET
CAUTION., THE SOLAR POOL COVER iS NOT SAFETY COVER AND IS NOT DESIGNED TO SUPPORT PEOPLE. CHILDREN SHOULD BE
ADVISED. THE SOLAR COVER MUST BE REMOVED FROM THE POOL BEFORE SWIMMING TO AVOID RISK OF DROWNING,
INSTALLATION The SolarPonl cover is installed on the pool with the air cells (bubbles) down (smooth side up). Float the cover on the pool a few
days before cutting to allow the packing folds to straighten. TAKE EXTREME CAUTION WHEN TRIMMING OR CUTTING YOUR SOLAR POOL
COVER ON ALL FORMS OF VINYL UNED POOLS OR ABOVE GROUND POOLS. YOUR SCISSORS OR CUTTING TOOL MAY DAMAGE THE
VINYL LINER. The cover can be out easily with ordinary scissors to fit the contours of the pool side wall. Before starting the cutting process, mark
the outline of the pool wall an the coverwlih a marking pen. Please exemise caution when cutting around curves and angles. For all types of VINYL
LINED pools remove the cover from the pool after you have marked it and do the trimming and cutting away from the vinyillner.
Since it Is easy to out off too much material, leaving a poorfil,llis better to out the coverlarger than necessary, than give it a Mal trimming for exact
fit share day or two. Once the cover Is cut and in place, II requires no grommets, ties orwalghts to keep It there, With the bubbles down, yoursolar
pool cover will float in place on the water through wind and heavy rains.
MANUAL REMOVAL OF THE COVER FOR SWIMMING
Pull three or four feet of the cover onto the deck and repeat In a fanfold manner (accordion fashion) until the entire cover Is on the deck. DO NOT
ROLLTHE COVER: WHEN OFFTHE POOL, THE COVER MUST BE COVERED WITH THE WHITE POLYETHYLENE PROTECTOR WHICH IS
INCLUDED WITH IT. You can roll the cover on a solar reel but must still be covered with white polyethylene protector.
MAINTENANCE AND CARE
1. Protect the Cover While Swimming
The cover MUST be protected from the sunlight when It Is removed from the pool. The sun generates temperatures hot enough to damage the air
cells two to six layers deep. The surest way to protect your cover when It Is oil the pool Is to cover It with the while opaque Polyethylone protector
which is included with the cover, DELAMINATION DUE TO IMPROPER EXPOSURE OF THE SOLAR POOL COVER TO DIRECT SUNLIGHT
(WHEN OFF THE POOL) WILL RESULT IN VOIDING THE ENCLOSED WARRANTYI
2. Care in Handling
To prevent damage to the air cells (bubbles), the cover should be carefully lilted over abrasive pool decks or coping or any sharp, ragged surface.
3. Do Not Trim or Store on the Lawn Your lawn can be seriously damaged in a brfsl period of time it the solar pool cover is left on It,
4. HlghTemperatures
Water temperatures above 90 degrees R may shorten the life of your solar poet cover and could also damage your pool as well, it pool tempem-
turesrise above 90 degrees F. the cover should be removed and covered with the while opaque polyethylene protector. We do not warranty II used
in' covering spa's in which temperatures exceed 900.
5. Cleaning
Most dirt and leaves can be hosed off the floating cover directly into your pool skimmer. Run the circulation pump while hosing so as to send minute
debris Into the skimmer and through the filter instead of Into the pool. If necessary, the leaf basket or trap can be emptied alter hosing. Water and
a soft brush are generally all that Is required to remove heavier grime and algae from Ilia cover. A CLEAN COVER ALLOWS FOR OPTIMUM
SOLAR ENERGY HEATING,
a. Storage
After cleaning the solar cover, allow It to dry. Fold It Into lour -fool widths and roll It up from one end. It can now be stored standing on end, in Its
original shipping carton or In a large plastic beg. Always store iI in a shaded or protected area below 120 degrees F.
7. DO NOT leave your cover on the pool after the swimming season ends. The cover Is not a winter cover and its life may be severely shortened
by winter conditions.
6. Chemicals
The Solar Pool Cover will significantly reduce your use of chlorine. Maintain chlorine at the proper level as recommended by chomlcal company.
When you'super chlorinate' THE COVER MUST BE REMOVED FROM THE POOLTO AVOID SHORTENING ITS USEFUL LIFE, Do nol relum
cover to pool until chlorine level is low and In the Ideal range of your test kit. Proper levels must be retained.
FILE COPS
4' EAR WARRANTY REGISTRi ON
To insure product guarantee, complete and mail this card within �o days of purchase.
Purchaser:
Date:
Address:
City/Slate:
Zip Code:.
Purchased From:
Phone:
Cover Size:
Type of Cover:
CAUTION: This is not a safety cover and is not designed to supportpeople. Children should be advised.
The solar cover must be removed from the pool -before swimming to avoid the risk of drowning.
When "Super -Chlorinating" THE SOLAR POOL COVER MUST BE REMOVED FROM THE POOL.
I have read the manufacturer's Installation and Use Instructions on the reverse side of the Limited Warranty, and I under-
stand said instructions must be adhered to, or the warranty may be invalidated.
Purchaser's Signature
MIDWEST CANVAS CORPORATION THE ONLY THINGS
WARRANTY DEPARTMENT COVERED UNDER WARRANTY
4635 W. Lake St., Chicago, IL 60644 ARE DELAMINATION
1-800-433.4701 AND SEAM FAILURE
• SOLAR BLANKET
4 YEAR LIMITED WARRANTY
Date of Purchase:
Yournew Solar blanket is guaranteed by the manufaclurerto be free from defects in material and workmanship under normal
use in accordance with the Manufacturer's Installation and Use Instructions. After placing initial claim, a form will be sent to
you. Consumer is responsible for handling and shipment fee that will be required at time of written claim. Covers over 20 X
40 size will ship common carrier freight collect. This warranty does not apply to damage resulting from accident, misuse or
abuse of the product, or alteration or modification of the product after your purchase.
THIS WARRANTY IS IN LIEU OF ALL OTHER EXPRESS WARRANTIES, REPLACEMENT OF DEFECTIVE PRODUCTS
AS PROVIDED UNDER THIS WARRANTY IS YOUR EXCLUSIVE REMEDY. THE MANUFACTURER WILL NOT BE LI-
ABLE IN CONTRACT OR TORT FOR ANY DIRECT, CONSEQUENTIAL, SPECIAL OR INCIDENTAL LOSS OR DAMAGE
ARISING OUT OF THE USE OF INABILITY TO USE THIS PRODUCT.
Some states do not allow the exclusion or limitation of incidental or consequential damages so the above limitation may not
apply to you. This warranty gives you specific legal rights, and you may also have other rights which vary from state to state.
TERMS OF GUARANTEE
This pool cover comes with a 4 year limited warranty, 1 year full, 3 years prorated. From date of purchase, should the cover
exhibit defects per the above limitations, the original purchaser shall pay only the following percent of the manufacturers
suggested list price at the time of replacement.
FIRST YEAR
SECOND YEAR
THIRD YEAR
FOURTH YEAR
FREE REPLACEMENT
70%
80%
90%
To insure product guarantee, complete and mall the Warranty Registration card or register on our website
www.midwestcanvds.com within 30 days of purchase.
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SURVEYOR'S CERTIFICATE
I HEREBY CERTIFY THAT THIS SURVEY MAP IS TRUE AND
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SURVEYED INTHE FIELD. I FURTHER CERTIFYTHATTHIS
SURVEY COMPLIES WITH THE MINIMUM TECHNICAL STANDARDS
SET FORTH IN CHAPTER 5.1-17 BY THE FLORIDA BOARD OF
LAND SURVEYORS PURSUANT TO CHAPTER 200988 FLORIDA
STATUTES, AND THAT THERE ARE NO ABOVE GROUND
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BY
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FLORIDA REGISTRATION #48YI
MARK W. TEEPE. P.S.M.
II LEGAL-])ESCRIPTION:
(AS FURNISHED BY CLIENT)
SEE ATTACHED
ADDRESS: 3806 SUNRISE BLVD.
FORT PIERCE, FL.
SURVEY NOTES:
fj4p •1. NOT VALID UNLESS SEALED WITH AN EMBOSSED
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2. LANDS SHOWN HEREON WERE NOT ABSTRACTED
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:3. LAND DESCRIPTION HEREON WAS PROVIDED BY
THE CLIENT.
4. BEARINGS SHOWN HEREON ARE BASED ON THE
CENTERLINE OF ROAD.
5. THE PURPOSE OF THIS SURVEY IS FOR USE IN
OBTAINING TITLE INSURANCEiAND/OR FINANCING
AND SHOULD NOT BE USED FOR DESIGN OR
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STATED ON THE SURVEY.
6. ELEVATIONS SHOWN HEREON ARE BASED UPON
N.G.V.D. 1929.
7. DIMENSIONS PREVAIL OVER SCALE.
8. ADDITIONS OR DELETIONS TO SURVEY MAPS OR
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9. SURVEY NOT COVERED BY PROFESSIONAL
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11. UNDERGROUND UTILITY INSTALLATIONS, UNDERGROUND
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12 UNLESS NOTED OR DEPICTED OTHERWISE, ALL
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13. THIS SURVEY IS PREPARED FOR THE EXCLUSIVE USE
AND BENEFIT OF ONLY THE PARTIES CERTIFIED TO
HEREIN, RIGHTS OR LIABILITY TO ANY THIRD PARTIES
CANNOT BE TRANSFERRED OR ASSIGNED.
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