DOH Permit No. CountyPool Owner/Operator Verification of Entrapment Safety Features 1. Name of Facility Pool: 2. Street Address: City:Zip:Facility Phone:3. Owners Name: (Print Name)4. Owners Phone:Email:5.
Open form follow the instructions
Easily sign the form with your finger
Send filled & signed form or save
How to fill out the FL DH 4157 online
Filling out the FL DH 4157 form is essential for maintaining safety standards at pool facilities. This guide will provide you with clear and detailed instructions on how to efficiently complete the form online.
Follow the steps to complete the FL DH 4157 form online.
- Click the ‘Get Form’ button to access the FL DH 4157 document and display it in your online form editor.
- Begin by entering the name of the facility pool in the designated field labeled 'Name of Facility Pool.' Ensure this name is accurate and reflects the official designation of the facility.
- Next, proceed to fill in the 'Street Address' section, followed by the 'City' and 'Zip' fields. This information is vital for identifying the location of the facility.
- In the 'Facility Phone' section, provide a contact number that can be reached during business hours.
- Enter the owner's name in the 'Owner’s Name' field. This must be printed clearly to ensure it is legible.
- Provide the owner's phone number and email in their respective fields to facilitate communication.
- Detail the suction outlet drain cover(s) by listing the make and model number in the appropriate section. If there are multiple devices, you may attach additional sheets as necessary.
- Indicate the installation date, expected lifespan of the device (in years), and the FL approved flow rate (GPM) in the relevant fields.
- Select one safety device type from the list provided in section 6, ensuring to check the corresponding box and provide the make and model number of the installed system.
- For each safety device, include the installation date and any additional information as necessary.
- Fill in the licensing information of the pool contractor responsible for the installation, including their name, phone number, license number, and email.
- Affirm the owner's commitment regarding the maintenance of safety device operation and testing by signing in the designated area. Be sure to print your name and date the document.
- Once all fields are complete, review the form for accuracy, then proceed to save your changes, download a copy for your records, or print it for submission as required.
Start completing the FL DH 4157 form online today to ensure compliance and safety at your pool facility.
Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Related content
DH 4157, 9/2015, Rule 64E-9.008(10)(c)2. DOH Permit No. County. Pool Owner/Operator...
The owner/operator shall provide a completed form DH 4157, Pool Owner/Operator...
Sep 1, 2006 — The DOH is responsible for the determination of eligibility of providers...
Get answers to your most pressing questions about US Legal Forms API.
Do you need a pool cover in Florida?
In the state of Florida, all homes with a pool must have an enclosure to keep out small wandering children. These laws were first put into place in 2000 with the Swimming Pool Safety Act.
What is in public pool water?
The most common sanitizer used in public pools is chlorine. Chlorine is a pool oxidizer, meaning it breaches the cell walls of bacteria, viruses, algae, and other organisms and eliminates them from the inside out.
What is the difference between a private pool and a public pool?
Using a public pool means sharing your swim time with people who may not be as clean and well behaved as you might like. With your own private pool, you have more privacy and more control over the company you swim with.
What are the pool safety requirements in Florida?
The pool must be equipped with an approved safety pool cover; All doors and windows providing direct access from the home to the pool must be equipped with an exit alarm that has a minimum sound pressure rating of 85 dB A at 10 feet; or.
What is considered a private pool in Florida?
(3) “Private pool” means a facility used only by an individual, family, or living unit members and their guests which does not serve any type of cooperative housing or joint tenancy of five or more living units.
Are pool fences required in Florida?
Under the Act, all outdoor swimming pools must have a 4-foot fence or other barrier around the outer perimeter of the pool, with no gaps in coverage. The barrier must also be sufficiently away from the pool's edge so a child who penetrates the barrier or fence does not immediately fall into the pool.
What is considered a public pool in Florida?
In Section 514.011(2), Florida Statutes, a public swimming pool is: … defined as: a watertight structure … located either indoors or outdoors, used … by humans, ....
What is the description of a public pool?
A public swimming pool is defined as any indoor or outdoor structure, chamber, or tank containing a body of water that is intended to be used collectively for swimming, diving, or bathing.
Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
If you believe that this page should be taken down, please follow our DMCA take down process here.