HomeMy WebLinkAboutPool AffidavitPLANNING & DEVELOPMENT SERVICES. DF-PARTMEN T
Bi< iWA& a ud Coe Replatiom DhWo a
MR VIRGINIA A AV9
FORT PIERCE, FL 3;4982.
(712) 462-1553 Fax (772) 462.-1578
AIFFIDAVIT OY REQUIREMENT E.f9.NIPLIANCIK
Residential Swimming Pao* Spa,, gilacfi dot Tub Salty Act:
PER WT
i. (W`e). aeknowledge. that a. new swiwmwg P004,spa, or hot tub will be constructed or installed at
2381 S I 114E4W-JEYV,5QJ &AC f-/ and hereby alarm that, one of the fodo wing, methods
(Please priht. street address)
will he used: to meet the requirements of Chapter 5.1.5,, llxlorida Statutes: (Please initial the method used for pool,)
The pool, will be isolated from access to. the home by an enclosure that nterts the pool barrier xqukcu=2s of Florida Statute 515-29.
The pool will be equipped with an approved safety pool cover that complies with AS" h5 F1244-9403tandard! Performance. Spceiftcations for
Safety Covers. for Swimming pools, Spas: and Rot: Tubs}.
All doors and windows providing direct access from. the home to the pool will be equipped, wish ars exit alarm that has a minimu m 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.
1 understand, that not having one of the above installed at the time of fival inspection, or when the pool is completed for contract
purposes, wW constitute a violation of Chapter 515,11v.S., and will be considered as t olnmitf* a misdemeanor of the second degree,
punishable by fines up to 5500.00 and/or up to 60 days in jail as established in chapter 775, F.S.
1 understand that the St. Lucie County Building Impections. Department assumes no liability for the final inspection of one of the
above protective devices, or the tack of maintenance, or the removal of such after the swimming pool has, been finalized.
1, the contractor, agree to instruct the owner of the proper use and maintenance of such safety device.
f
C09TPACTOR S{G ATURER SFGPi TURS
STATE OF, FLc► Cot lvrY OF MA4Tl,+11 STATE OF FLORIDCOUNIF i O F 84 lW
lV y PL -BL OTARY P C
The: foregoing instrument was acknowledged before me
this 0') day of J , 20 Z O
by . �kAd F-/6
Per a� n mor Produced Identification
Type of Identification Produced:
JULIE 11 SCALISE'�
"= My COMMISSION # GG09-1020
EXPIRES April 06, 2021
SLCPDS Revised 07/22/2014
The forege btg lsstrumemt was acknowledged before me
this ?jO day of Jt4d-ii , 2026
by SorJYA IJ
Personally Known or Produced Identification ✓
Type of Identification produced: f-
1'' JL LIE M SCAT. l'
My COMMISSION # GG09i020
t k,.
,r�4d EXPIRES Axil 06, 2021