HomeMy WebLinkAboutAffidavit of Requirement CompliancePLi ."IING & DEVELOPMENT SERVIC-�—7 DEPARTMENT
Building and Code Regulations Division
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772)462-1553 Fax (772) 462-1578
AFFIDAVIT OF REQUIREMENT COMPLIANCE
Residential Swimming Pools, Spa, and Hot Tub Safety Act
PERMIT #
I (We) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at
18705 MACH ONE DR. PSL 34987 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.)
X 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 F1246-9I (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
pregame rating of85decibels at 10 feet. FLOATING ALARM 450.17.1.9(3)
All doors providing direct access from the home to a pool will be equip with self closing, self latching devices with re ease 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.
I, the contractor, agree to instruct the owner of the proper use and maintenance of such safety device.
CONTRACTOR SIGNATURE
STATE OF FLORIDA, COUNTY OF
NOTARY PUBLIC
The foregoing instrument was acknowledged before me
this day of , 20
by
Personally Known or Produced Identification
Type of Identification Produced:
SLCPDS Revised 07/2212014
OWNER SIGNATURE
STATE OF FLORIDA, COUNV OF
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NOT PUBLIC
The foregoing Instrument was acknowledged before
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this day offs jA /l/V !,-s_ , 20UV
by R
Personally Known or Produced Identification
Type of Identification produced:
KELLYA LOUNDS
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