HomeMy WebLinkAboutAffidavit of Requirement Compliance-.�, WNING & DEVELOPMENT SERW6ES
BUILDING & CODE REGULATIONS DIVISION
2300 VIRGE41A AVE
FORT PIERCE, FL 34982
(772)462-1553
AFFIDAVIT OF REQUIREMENT COMPLIANCE
�]� p��� 1 �, `R/esiidential Swimming Pools, Spa, and Hot Tub Safety Act
PERWrO �" " / �"IMQ
I (We) acknowledge that a new swimming pool, spa, or hot tub will be coustructed or installed at
\5M % blw' I M Y-- 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.)
1W /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.
;J,contractor, agree to instruct the o er of the proper use and maintenance of such safety device.
coNTRACTo4&WATuRF 11, p OWNER SIGN TURE
�OFFLOUNTY OF � WlG C _ STATE OF FLORIDA, COUNTY OF v + W lG L
NOTARYP IC NOTAR PUBLIC
The foregoing instrument was acknowledged before me
this p'�day of ' 1mA,! CY \ .20�,
by ,U�V\ I N
Personal) Known_ or Produced Identification
Type of Identification Produced:
pv✓r Notary Putsie State of Florida
Sabrina M Arrington
SLCPDS Revised 10/072010 my Comm1eaoo GG �7a
o,� l.apua 0a1Z1R02J
The foregoing instrument
(�was
�acknowledged before me
this —1 dayof 17'UU lei L .20_,QL
by Wi�1OLM 5t.,At1t
Personalty Known or Produced Identirricetion_y
Type of Identification produced: Dl
RNoLry Public Stale a Fleriee
Sabrina M Arrington
IItY Commiaeion GCa aoezra
Expina OMt72023
4