2298(a) PBA 19/20-79 Pool Liner Replacement - attachment to 2298S ORD
FINANCE DEPARTMENT
PURCHASING DF-PARTMeNT
TRANSMITTAL MEMORANDUM
TO: City Clerk/Mayor
RE: PBA 19/20-79 Pool Liner Replacement
The item(s) noted below is/are attached and forwarded to your office for the following action(s):
❑
Development Order
❑
Mayor's signature
❑
Final Plat (original mylars)
❑
Recording
❑
Letter of Credit
❑
Rendering
❑
Maintenance Bond
Z
Safe keeping (Vault)
❑
Ordinance
❑
Deputy City Manager
❑
Performance Bond
❑
Payment Bond
❑
Resolution
❑
City Manager Signature
City Clerk Attest/Signature
❑
City Attorney/Signature
Once completed, please:
F-1 Return originals to Purchasing- Department
F-1 Return copies
0
Special Instructions Combine with agreement
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From
SliarePoint—FitiatiCC—PLircliasitlg_Forms - 2018.doc
1-/2.7/202 Z.
Date
-12 -712 -02 -1 -
Date
Permit Number:
Folio/Parcel |D#: 25-19-30-300-0040-0000
Prepared by:
8608 Beach Blvd
Jacksonville Fl- 32216
8608 Beach Blvd
Jacksonville FI 32216
NOTICE OF COMMENCEMENT
State of Florida,
The undersigned hereby gives notice that improvement will bemade tocertain real property, and inaccordance
with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Description of pro(legal description ofthe property,and street address ifavailable)
GEC25TVVP 19S RGE30E BEG 42.91 FTNGQ DEG 16 K8|N 11 SEC VVOF |NTVVLY R8NPARK AVE..
2. General description of improvement
RENOVATION OF|NGROUNOPOOL
3. Owner information information Uthe Lessee contracted for the improvement
Name CITY vrSAvrvnu
Address 300 N PARKAVE, SANFORD FL 32771
Interest inPropa
Name and address of fee simple titleholder (if different from Owner listed above)
Nom
Address
4. Contractor
FLORIDAName LDS& EXC/V DBA: DAKVVELLSAQUAT|CS Telephone Number 904-619-3281
Address 8608 BEACH BLVD, JACKSONVILLE FIL 32216
_ Surety (if applicable,' _ --,' of the payment bo _ is attached)
Name Telephone Number
Address Amount of Bond $
8. Lender
Name TelephoneNumbe
Address
7. Persons designated hyOwner upon whom notices orother documents may
beserved aoprovided by§7i3.13(1)(o)7. Florida Statutes.
Nom Telephone Number
Address
O. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's
Notice asprovided |n§713.13(l)(b)' Florida Statutes.
Name TelephoneNumbe
9. Expiration date of notice of commencement (the expiration date will be 1 year from the date of recording
unless odifferent date iospecified)
WARNING TO OWNER: YMENTS MADE BY THE OWNER AFTER THEEXPIRATION OF THE NOTICE npCOMMENCEMENT
ARE CONSIDERED IM OPER P ENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YqUR PAY G TWICE F IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RE OR E 'A D POST D ON THE J B SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
wil NDE R ATTO EY BEFORE COMMENCING WORK OR RECORDING YOUR NqT�CE OF COMMENCEM NT.
R PAY
/ Meewn
Signature of Owner or Less ner's or Lessee's Authorized Officer/Director/Partner/Manager Signatory's 7 oie/Office
The foregoing instr ent was acknowledged before me this
as for
Name of( ally on &hal,of whom instrument was executed
Asig atr, �of Print, type, or stamp commissioned name of Notary Public
Pansona||yKnownProduced |O____ DEBORAH
Form content revised: 01/23/14
For Department Use Only
Date Received
Received From
DOH Operating Permit #,
STATE OF FLORIDA
DEPARTMENT OF HEALTH
NOTICE OF RESURFACING OF PUBLIC SWIMMING POOL
1, Pnojeot/FaoUityName: City OfSanford County:
Address of Pool: 300 North Park Ave - City: Sanford
2. Owner Name: E -Mail:
Mailing Address:
3. Building Depart. Name: City Of Sanford
Mailing Address:
City:
City:
Seminole
3277
Stahs-FLZip:
Ryan Wells; Florida LDS & Excay. dba: OakWells
4. Contractor Name: CPC #: 1458530
Ryan@oakwelisaquatics.com W4-619-3281 office
5. Public Pool Resurfacing Building Code Compliance Check List:
Lip ofthe gutter leveled towithin 1/4inch (G.4mm) between the highest and lowest point and the downward
slope from the lip to the drain must be maintained as originally designed or increased, not to exceed new
construction standards. (Florida Building Code (FBC)section 454.1.1O.1.1)
Tile step markings installed per requirements ofSection 45412.53.(FBC4541.1O.1.2)Note: When
markings are specified by code to be dark, the term "dark" shall mean a Munsell color value from zero to
four. Must beslip resistant tom.
Where applicable, the slope break marking must be installed meeting the requirements of Section
454.1.22.3,2and a safety line installed 2feet (61Omm) before the marking. (FBC454.1.10.1.3)
Depth markers and N[>DIVING markers installed hlaccordance with Section 4541.2.3.(F8C45411[i1.4)
The pool ladder must have a 3 to 6 -inch (76 to 152 mm) clearance from the pool wall. New cross -braced
laddera)shall bainstalled inplace ofno kadder(s)inconformance with Section 4541.2.5.1.
(FBC4S4.1.1O.1.G)Note: Ensure Florida Building Code 454.Y.Y0,4.2Eqmipo/enba/bonding has been
inspected and verified byjurisdictional building authority.
Should resurfacing works affect the step riser heights, noriser shall exceed 12 inches (305 mm) for pools
d for and the intermediate risers shall bemade uniform. (FBC454 1101f)NOTE:bho 12'inch
allowance for pool step riser is a code modification the Building Commission has approved for the 2020
F8Orevision 71h edition.
Step treads that protrude from the pool wall shall be removed and replaced with a cross -braced ladder or
reconstructed to meet the requirementsofSection 454.125.1 or 454.1.2.5.2. (FBC454.1.1U.1.7) Nob*
Ensure Florida Building Code 454,f 184.2EquipotentialbondinDhasbeen/nmpecbadendverifiedby
jurisdictional building authority.
DH Resurfacing Notification Form, 12/30/201e. Rule cwe*.on1.r��o�
Page of
6. Note: Florida Building Code section 454.1.2.4 Color. Pool floors and walls shall be white or light pastel in color
and shall have the characteristic of reflecting rather than absorbing light. The interior finish coating floors and
walls shall be comprised of a nonpigmented white cementitious binder component together with a sand/aggregate
component. The finish coating shall have a dry lightness /eve/ (CIE L value) of 80.0 or greater and a wet luminous
reflectance value (CIE Y value) of 50.0 or greater, as determined by test results provided by the manufacturer,
utilizing testing methodology from American Standard ASTM D4086, ASTM E1477, ASTM E1347. Pools
constructed of fiberglass, thermoplastic, or stainless steel shall be subject to the same interior finish color
requirements.
Pool Interior Finish Color Selection (print or type on line below):
blue
Replacement Tile Color Selection (print or type on line below):
N/A
Note: If suction outlet drain covers, sumps or other anti -entrapment safety features are replaced, provide DOH
with completed DH 4157 form under s. 514.0315, Florida Statutes.
Note: If deck alterations are in the scope of work, the wet deck must be maintained as originally approved or meet
current Florida Building Code ADA requirements.
REMARKS:
CERTIFICATION OF OWNER
The undersigned owner, or owner's representative, hereby agrees to operate the pool described in this notification in
accordance with the requirements of Chapter 514 of the Florida Statutes, and Chapter 64E-9 of the Florida
Administrative Code (F.A.C.), and maintain the original or the resurfaced construction compliant with the Florida
Building Code (FBC), Building, Chapter 4, section 454.1 that is approved or accepted by the jurisdictional building
department, The and tsigned 'ocaner, or owner's representative, further agrees to comply with the requirements of the
FBC Cha Sect' n\Aq4.1.10.1 when undertaking the resurfacing project herein described.
Date,
Sig � PI't ra?v� -
Name. Title: /-� �4�'
(Print or type) (Print or type) If not Owner, attach authorization from Owner
THIS SECTION FOR DOH USE ONLY:
It is recommended that the above resurfacing notification be ( ) APPROVED ( ) DENIED, subject to provisions of the F.A.C. and the FBC.
Signature: DOH Engineer / Authorized Staff Date
Print or type Name
DH Resurfacing Notification Form, 12/30/2019, Rule 64E-9.001, F.A.C.
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