HomeMy WebLinkAboutAffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
.'._. Building and Code Regulations Division
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1333 Fax (772) 462-1578
AFFIDAVIT OF REQUIREMENT COMPLIANCE
Residential Swimming Pools, Spa, and Hot Tub Safety Act
PERINIIT #
I,(We' ackn wledge that a new swimming pool, spa, or hot tub will be constructed or installed at
�0r nAU4 and hereby affirm that one of the following methods
(Please int street address 1
will be used to meet the requirements of Chapter 515, Florida Statutes: (Please initial the method used for pool.)
J� The pool will be isolated from access to the home by an enclosure that meets the pool barrier requirements of Florida Statute 5 15 29.
The pool will be equipped with an approved safety pool cover that complies with ASTM F12-16-91(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 he equipped with an exit alarm Ihat has a minhumn sound
pressure rating of 85decibels at 10 feet.
All doors providing direct access from the home to the pool will he 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 he 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 proper use and maintenance of such safety device.
fC0`
REACTOR SIGNATURE
ST�E_ OI' -LORIDA, COUNTY OF 6+--'
Jv J _ 4 n I
' �U!1 —
N ARY PUBLIC
The foregoing instrument was acknowledged before me
this &0—day of �1 I —200-20'
by J&aw 6 y a tl n
Personally Known —y' or Produced Identification
Type of Identification Produced:
OiNNEKGN:
+
STATE OF FLORIDA. COUNTY OF
NOTARY PUBLIC
The foregoing instrument was acknowledged before me
this /3�y ofAA"',
by
9
Personally Known or Produced Identification_
I �p
Type of Identification produced:r'I
..LRISTINE MICHELLETAYLOR+
. Staie of Florida -Notary Public`
'` ( = Commission # GG 155618 I
l l Ivly Commission Expires
October 29, 2021
M CHEI-LE TAYLOR,e,
Florida -Notary Public'
Commission # GG 155618
SLCPDS Revised 07/22/20
1
My Commission Expires
October 9 20,21 „
..LRISTINE MICHELLETAYLOR+
. Staie of Florida -Notary Public`
'` ( = Commission # GG 155618 I
l l Ivly Commission Expires
October 29, 2021