Laserfiche WebLink
<br /> <br />FLORIDA DEPAil.TMENI' OF <br /> <br />For Department Use Only: <br />Amount Fee Received $ Date <br />Check No: From: <br />SP#: MF#: <br /> <br />STATE OF FLORIDA <br />DEPARTMENT OF HEALTH <br />APPLICATION FOR APPROVAL OF SWIMMING POOL PLANS <br /> <br />This form is to be completed and submitted with plans and specifications in six copies along with the appropriate fee. <br /> <br />New Construction t!I <br /> <br />Revision 0 <br /> <br />Modification D <br /> <br />1. Name of Agent or Applicant: <br /> <br />Grand Horizons Spa <br /> <br />Address of Pool: <br /> <br />7645 Green ~lope Dr. <br /> <br />County: <br /> <br />Pasco <br /> <br />City: <br /> <br />Zephvhills <br />Grand Horizons Inc. <br /> <br />Zip: 3 354 1 <br /> <br />2. Name of Owner: <br /> <br />Phone; Fax: <br /> <br />Mailing Address: <br /> <br />7645 Green Slope Dr. <br /> <br />City: zephyhills State: FL <br /> <br />Zip: 3 354 1 <br /> <br />3. Pool Type: Conventional 0 Spa ~ Wading D <br />Indoor D Outdoor [i] <br /> <br />Special Purpose 0 <br /> <br />Water Recreation Attraction 0 <br /> <br />Transient D <br /> <br />Non-Transient [X] <br /> <br />4. No. of Units Served: n/ a <br />5. No. of Sanitary Facilities: <br /> <br />No. of Stories: n / a <br /> <br />Distance nf Farthest ~nit from Pool: n/ a <br /> <br />Elevator: YesD No ~ <br /> <br />Min. required <br />shown <br />Distance From <br />Pool: under 200 I <br /> <br />Male <br />Female <br /> <br />Water Closet <br />1 <br />, <br /> <br /> <br />Lavatories <br />1 <br />1 <br /> <br /> <br />6. Method of Waste Water Disposal: <br /> <br />flex hose to grass <br /> <br />7. Pool Volume in Gallons: <br /> <br />750 <br /> <br />Bathing Load: <br /> <br />5 <br /> <br />Water Source: <br /> <br />public <br /> <br />8. Dimensions: Width: 8 <br /> <br />Length: 8 <br /> <br />Area: 50 Perimeter: 25 Depth:Max. 3711 Min.' 3611 Shape:round <br /> <br />9. Type Construction Material: <br /> <br />Shell conc. <br /> <br />Finish marci te <br /> <br />Color whi te <br /> <br />10. Equipment Make and Model: <br />(A) Recirculation Pump: StaRi te P4EA6FL Flow: 50 <br />Pac Fab TR60 <br /> <br />GPM At 75 TDH HP 1-! <br />3 . 1 4 Sq. Ft. Flow Capacity 62 <br />Capacity 10 GPD [::J or PPD D <br />Capacity 10 (GPO) <br /> <br />(B) Filter: <br /> <br />Area: <br /> <br />(C) Disinfection Equipment: <br /> <br />Stenner 45M2 <br /> <br />(D) pH Adjustment Feeder: <br /> <br />Stenner 45M2 <br /> <br />(E) Test Kit: <br /> <br />Taylor 2005-. <br /> <br />PINELLAS COUNTY <br />HEALTH DEPARTMENT <br /> <br />MAY 0 2 2002 <br /> <br />ENVIRONMENTAL <br />ENGINEERING <br /> <br />DH 914, 3/98 (Obsoletes Sep 90 edition) <br />