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HomeMy WebLinkAboutAffidavit of Requirement CompliancePLANNING & DEVELOPMENT SERVICES DEPARTMENT Buildin and Code Reulations Division RECEW g g 2300 VIRGINIA AVE FORT PIERCE, FL 34982 (772)462-1553 Fax(772)462-1578 - FEg. 0 6 IS Permittin 0i0 e a ment pgntv AFFIDAVIT OF REQUIREMENT COMPLIANCE St, Residential Swimming Pools, Spa, and Hot Tub Safety Act PF.RAETN D'Vua m5LA I e) ackno edge that a �ntew swimming pool, spa, or hot tub will be constructed or installed at xQ ��P n J . 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.) t tl— 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). I 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 85declbels 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 $500.00 and/or up to 60 days in jail as established in chapter 775, F.S. I understand that the St. Lucie County Building Inspections Department assumes no liability for the final inspection of one of the above protective devices, or the lack of maintenance; or the removal of such after the swimming pool has been finalized. I, the contractor, agree to I The foregoing the owner of the proper use and maintenance of such safety device. 1 was acknowledged before me this ,day of R4 , 20�� byy�.y i•�,.wQQ �i�. Personally Known L or Produced Identification Type of Identification Produced: SLCPDS Revised 07/122014 �0 Notary Pudic State of Florida Sabrina M Arrington +a- My Commission GG aoa279 p Expima 08/27/2023 STATE OF O ) COf1NTY OF % % �� "F5 Y P \ NOT [C The foregoing instrument was acknowledged before me this ,_day ofl�-�{'� .20—rat by Personally Known or Produced Identification Type of Identification produced: ' L� R19 tets ringtn GGo23 POOLS GREG, INC. Name _E/ Legal Descrfpt Owner Mailing Contract Pnce ($ BASIC POOL: SPA649&A76� INTERIOR FINIS 8886 S. FEDERAL HWY. _ PORT ST. LUCIE, FL 34952 PHONE: (772) 337-9713 • FAX: (772) 337-9287 www.poolsbygreginc.com CPC 1458338 CONTRACT FOR POOL CONSTRUCTION Dept. Price Good ;Z?Z S/y 7 5y 2 -77Z"Zal'?jgoo Size/Shape: ((y rt, rC 3n 1%mt/) Ste7 Steps: Swim Out: Z Depth Shallow End:%r' Depth Deep End: Ladder: Ate)Handrail: A!d Misc.: A0 606 Tile: Cap: _ Step Tile: DECK Materiat,fn�A/c2v.-rg- Color. Size: pist-nt Existir Deck O Drain: Prue_ n t-A, , FILTER: I;M Waterfall / f "Mosaics: POOL BUILDER MAY CHANGE PATIO SURFACE TO SPRAY Pump: that rrA4e /Af ref U r`P? J Size: .'3,/T egfo DECK IF NECESSARY EQUIPMENT. Safety Fence Color: Fill Water. City �,�,,r�-+��•ielrw ess. Tank Chlorinator. /r[1 /APcol Cleaner. 0,a&.42- ,—StDt1%Flter/Valved: Heater. Size:: /MIQ 0T12A-z9A1P/CTank: /Vo Valuing for Future Heater: ' Vacuum Set Incl. lmaee%W,; handle, brush, Test Kit & Instruction, I)a ; Main Drain:32,/y GHF,»vei, Inlet(Returnfittings): f [�Skimmer(s): / Underwater Ught(s): 2. - [n(,o 60 v rig 300W, 12 Volt — 100W, 12 Volt ` Transformer: / Junction Box s : / Timers: / Disposition of Fill: LEAVE LEAVE & SPREAD r � MOVE AND SPREAD HAUL Plans and permit by. Pools by Greg, Inc. Entrance to pool site and elevation of pool as per approved plans. ELECTRIC DONE BY: [/D()13D /p.1l% —� 72M Include in this contract: Alt) SCREEN DONE BY: Pfr`1 n/-RHn_ ,a ' 7 include in this contract: AAf7 SOLAR DONE BY: M3 Arc- Include in this contract: A/`6 CUT & CAP SPRINKLERS DONE BY., ello At-r= include in this contract: Apr) OTHER EQUIPMENT/CONSTRUCTION: AWrnryt. te,w) d,;e-An)t/A,�_,QwTwrn.AsRYKTiAIr,- CHANGE ORDERS: There will be an additional charge to purchaser of $45.00 for any change orders, plus additional charge for whatever changes order consists of. See reverse side of contract for details. WARRANTY: In order to validate the warranty on the reverse side of this Contract, a monthly test of a sample of the pool water must be done for a 1 year period by a qualified swimming pool chemical store. Please see item (4) under limited warranty on the reverse side of this Contract for details. CONSTRUCTION: No finish grading, planting, sodding or seeding shall be done by Pools by Greg, Inc., and any trees or other planting to be saved shall be removed, cared for, and replanted by the owner. The removal and / or replacement by this contractor of KNOWN obstructions shall be limited to the following: HOMEOWNER'S ASSOCIgTION REQUIREMENTS AND APPROVAL SHALL BE THE RESPO�N7SIBILITY OF THE OWNER. • Preparation Fee $ � �8 , 06 �% Patio $ 02,1 t, - -26 L_% Shell Draw $ 2 F, _3g $, 00 .So % Completion: $ 7.7 30 . 7,5- Plumbing, (Filter $ /Z9 9fif, r O 3D % TOTAL OF at Completion) ' THIS CONTRACT $ SY ?75`r t7� Contract to be financed through: 1f1111]ap"ky Pools by Greg, Inc cannot be hold rwb;asible for any loss, damage, death or Injury due to malfunction of safety barrier when used by the customer, for any reason beyond its control, under any cimumstances, for any reason whatsoever. The customer assumes all risks directly or Indirectly, related to malfunctioning, failure, or Improper use of alarm barter. Keep all grates and drain covers In the pool and/or spa In good repair and secured in place. Mort as swimmers to stay away from these devices, w the suction from drain outlets Is strong enough to cause entrapment of hair or body parts, and drowning. Children using pool/spa must always have Vase adult supervision. The undersigned owner or owner's agent, by affixing his signature hereto, hereby acknowledges that he has read, understands, and consents to the conditions set forth on the revorse side of this contract. I or we agree to pay a monthly finance charge of 1 A % (18% Annual Percentage Rate) on all past due bills. Owner(s) hereb acknowledge receipt at the time of execution of this contract of an exact copy hereof. Date: /uC.-.��- �� �� Builder: Salesman: Owner. Approved by Office: Own ._)f0�il�-- �llitQln Non-refundable '• Mosaics purchased outside of pool contract are the sole responsibility of the buyer to be installed before piaster.` (See reverse side for Conditions of the Contract) THE MOST EFFICIENT SINGLE CARTRIDGE FILTER EVER The Clean & Clear RP filter gives you everything you could ask for in a filter. This design is nearly 50% more efficient than most single cartridge filter on the market. At the same time, it delivers top -of -the -line cartridge performance to keep your pool sparkling clear. Plus, cleaning is a breeze —its quick -connect ring makes maintenance a cinch —just open the top, remove the cartridge, hose it off and the Clean & Clear RP filter is ready to go again. WK The Clean & Clear RP filter has an innovative side entry port to optimize flow and energy efficiency. And inside, we've maximized the cartridge surface consistency to block and trap particles as small as 20 microns. An average grain of beach sand is 1,000 microns!) Plus, its durable, fiberglass -reinforced tank helps to ensure exceptionally long life. • Unmatched hydraulic efficiency —nearly 50% more energy efficient than other single cartridge filters. • Quick -connect union with diamond seal assures easy installation and servicing. • Single -piece base and tank are constructed of fiberglass - reinforced polypropylene for strength and chemical resistance. • High FlowTN Manual Air Relief Valve and continuous internal air relief work together to maintain optimum f ittration efficiency. `T IED Eco ; WAR-0 8 2020 ems` j ST. Lucle County, Permitting �PENTAIR AN ECD SELECT' BRAND PRODUCT The Clean & Clear RP cartridge filter has earned the Eco Select brand distinction Imm Pentair for its efficiency and environmentally friendly performance. pentairpooLcom CCRP 150 150 76" 1 5.5" 150 72,000_Y 90,000 I 1088,000 �T CCRP 200 200 15.5" 150 72000 90 000non ' Required clearance to remove filter elements EFFICIENT AND CAREFREE... BY DESIGN The Clean & Clear as filter's innovative side entry design optimizes flow for greater energy efficiency. It features an easily - cleaned cartridge for the ultimate in carefree pool filtration. The fiberglass -reinforced tank halves are secured with a low -force clamp ring —just loosen the ring and remove the top half for easier cartridge access and rinsing. Filter maintenance doesn't get any easier. AVAILABLE FROM: PENTAIR • 1112" drain cap and washout for quick and convenient maintenance and winterization. • Innovative lock -ring requires only an easy half of a revolution fora teak -proof seal. • Single -piece base and body designed for maximum durability. • Cartridge is easier to remove and rinse for near effortless cleaning. 1620 HAWKINS AVE. SANFORD. NC 27330 800.831.7133 WWW.PENTAIRPOOL.COM All Pentair trademarks and logos are owned by Pentair or one of its global affiliates. Clean & Clear'", High Flow'" and Eco SetecO am trademarks and/or registered trademarks of Pentair Water Pool and Spa, Inc. and/or its affiliated companies in the United States and/or other countries. Because we are cominuously i nima, ug our products and services, Pentair reserves the right to change specifications without prior notice. Pentair is an equal opportunity employer pumps • filters • heaters • heat pumps' automation • lighting • cleaners • sanitizers • water features • maintenance products 4/17 Part # P1-109 02017 Pentair Water Pool and Spa, Inc. All rights reserved. 0 Techko USA - ALARM PROTECTION PRODUCTS - MODEL: S 187D Page '1 of 1 TECIM- MAR p J 2920 (2zality 5e[whr,fntzgriy,[otremitmetlttvfxwCence ST.Luciecc t PermlEting 'Print P0.isa'-Wind] • Model: SW70• SAFE POOL m Magheeticsensor entry alarm i+ 'Always an' alarn protection {<< R Adult pass -through auto reset button { n" r P- Hlgh output 110.115 d6 alarm r WaterAveather resistant housing s b- Magnetic sensor for additional door/screen door Low battery LED display Addtional pass -through button fordelayed entry from either side door or —• fence P* Additional magnetic sensor forsemen door eWentry CONTAINER: 2D FT: 9,600 lies. Jw- Intended for Interior orwdedoruse 40 Fr: 19,680 pcs. tw 9v battery operation (not Included_ 40 HQ 22,898 pea. A UPC Baicoda: Of4575 187011 Q Pool Guard Alarn USA Patent No. 5,473,310 and No. 6.727.819 e EfL Approved underUL 2017 Standards 1 www.fechkomaid.corn i Office Products i Security Products MAR 0 9 2020 ST. Lucie CouotY for use in swimming pools only The majority of daily heat lass Is due to evapomiian Solawill minimises heat Ion by forming an ultro-thia, invisible harrier on the mrfam of the water to reduce evaporation Its patented psemmmre scheme ddlrny, systrm gmdua0y releases the formula into the filtrating Were to allow for optimum cavemga One capsule mean a 30,000 gollan pool for one month. Replace when necessary to maintain water lemperaturs. SolurPlll ran he used with all types of sanitiren and ismmpoUble with all pool chemiary. For beg remlls, angle the returns downward to decrease water surface movement, as SolorPill is most effective in giU eager. Uneven distribution or use in water below 65°F may produce resident which should dimppear in a few days. DIRECTIONS FOR USE I. Work blue pierciap lwl Bvn.hiw pshpa �\ L inner W. ptenin9 .at We large name, hot,. b� hen fnml, o9gng hard wdom and predict is pumhed lh ou9i LT wo paramandplumrvahale... eamgdmal repo usingwLbpadpic. Afro.pir sevoew,farnardhmetadmdpmropi0 lomep in,Ummerlor46baum W NOTplmehleriromNenEma sldmmmvll6h lime. Run the "p mr ul Dave 0 bran daAA Oropeal tm un w m 3gpaa 9vOa nc CAUTION: MILD EYE IRRITANT Avoid motors will, eyes. Do not swallow. Wash hands Ihomughly after handling. Um only in a well-veralated arm. Keep mntainer eared. KEEP OIST OF RUCH OF CHILDREN. FIRST AID: In rose of sen contest: Wash with snap and water. If mist, are Inhaled: Supply fresh air. If In oyes: Remove soared [am ifwom, and duce opened eye for several veinalas under running water. Seek medtmI wentwnfor persistent arseriaussyanproms ll swallowed: Rinse out moulh and Then drink plenty orwalec ccmuh a doctor or Poison carnal immediately, D D NOT IN DUCE VOMMHG. Comums Wes. hemdmmoh and prapylere 91yod. Mooufadumd by avdyadar. NC Broad, LB 40 Richard, Am Nvno@, Cr 06054 NO 751.I233 ww.aryo-pill.ram O 2016 NC based, LP. 90123101601 Net Contents: 143 OR .i LIFE SAVER POOL FENCE RFc jDe� FFd p G st'�n�9 101p OON SYSTEM SP-90. WICATIONS General Description: Pool fence designed specifically to provide a barrier around residential swimming -pools for toddlers and young children. Life Saver Pool Fence Systems ® does not have any gaps, openings, indentations, protrusions, or structural components that could allow a young child to crawl under, squeeze through, or climb over the barrier. Our exclusive Perma Locking System will not allow the barrier to be removed without the aid of tools. Life Saver Pool fence is manufactured and installed in compliance with the Florida Residential 4501.17 and the Florida Statute. System: Tension based system utilizing a series of 15 foot sections of fence with inserts for mounting in non -conducting polypropylene sleeves core drilled 4 inches deep into a concrete deck or other substantial surface, connected in series at the top with our exclusive 21/2 inch Perma Locking System Construction: Mesh: Polyester mesh fabric with a mildew resistant polyvinyl coating to provide for years of use in direct sunlight. Continuous basket weave with a tensile strength rating of 270 lbs. Per inch making it impossible to rip under normal use. Color selection is black white, green or brown. Available in 48 or 60 in.heights. Bordered on all four sides by a reinforced vinyl material with a rating of 387 lbs. To prevent sagging and provide the necessary tension to insure the fence's integrity for its intended purpose both at the top and bottom The mesh is pre -mounted on aluminum support poles and secured by aluminum cove molding strips. Poles: Poles are constructed of marine grade aluminum, black, white, green, tan and brown powder coated or silver finish. Pole spacing is at 36 inches. Stainless steel screws (14) are utilized for securely attaching the aluminum cove molding to the poles and mesh. Surface of the poles are finished for handling and to prevent injuries from physical contact. The poles are capped to provide a neat finished appearance. Revised 11/10/15 Life Saver Pool Fence Systems, Inc. Removable Pool Safety Mesh Barrier Fencing Technical Specifications Life Saver Pool Fence Systems, Inc. has manufactured removable pool safety fencing for over 13 years and has continuously evolved their methods and materials, often -time leading industry wide changes. A Manufacturer's Limited Lifetime Warranty guarantees every system for as long as they own it. Life Saver Pool Fence meets and exceeds all code requirements throughout Florida Below you will find technical specifications on the components used in assembling the Life Saver Pool Fence. Textilene Mesh Textilene mesh has been used as the highest quality material to the pool fence industry for over 15 years. Laboratory testing shows its strengths to surpass all code specifications and applicable ASTM standards. Item Number. • T70 DFS Product Description: Fabric using .025" dia. vinyl -coated 1000 den. polyester core yams in the warp and fill. Construction, endfinch D3775-96 13.0 + .5 Weight, ortyd' D3776-96 — — Tensile Strength (grab), Ibf D5034-95 221.4 Tensile Strength (strip), Ibf D5035-95 194.9 Tear Strength, (Trapezodial), Ibf D1117-97 65.4 Ball Burst, IV D3787-89 Bursting Strength, psi D3786-89 Elongation, % D5035-95 24.3 Abrasion Resistance D3884-92 (CS10/50D cycles/ with no added weight) Flammability Rating Weatherability, 1200 hours 653-96 Mildew Resistance G21-96' The above results are a representative of real data from single test samples_ Presently no specification is incorporated. 11.0 + .5 213.3 153.8 54.0 335 433 21.6 No'exposure of core yam CS-191-53 & CA 117E No discoloration No growth Warp refers to the horizontal threading while fill refers to the vertical threading. As shown, all testing confirms Textilene in meets and, on all strength tests, amply exceeds the set code requirements. Reinforced 1" Aluminum Pole Life Saver Pool Fence uses Reinforced 6063T6 I" Aluminum Poles spaced no more than 36" apart. Mesh is secured to the pole via an aluminum cove -molding using roundhead screws spaced no greater than 6". The temper rating of T6 scores the highest tensile strength (30 ksi) within the 6063 alloy classification. On July 14'h, 2003, Life Saver Pool Fence Systems, Inc. contracted Nutting Engineers of Florida, Inc., an ASTM standards testing lab established in 1967, to test the pole strength as per the Florida Residential Code 4501.17 At the time of testing, a lateral force was applied to a single pole at a measurement of 36" from the surface of the deck. In the test, the resistance to lateral pressure was found to exceed 70 lbs. of pressure before failure on any single pole in a free standing installation, thus exceeding the 52 lbs. of horizontal force prescribed by the Florida Building Code.