HomeMy WebLinkAboutAffidavit of Requirement CompliancePLANNIi'ai & DEVELOPMENT SERVICES DEPARTMENT
' Building and Code Regulations Division
Roxaconagwifw
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772)462-1553 Fax (772) 462-1578 'QF
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AFFIDAVIT OF REQUIREMENT COMPLIANCE�'iri 'P.,a
Residential Swimming Pools, Spa, and Hot Tub Safety Act Eby QP oap
PERMIT#
(We gacknowledge that a new wimming pool, spa, or hot tub will be constructed or installed at
hpC }(:&W ?-.1 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.)
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 bas a minimum sound
pressure rating of 85decibels at 10 feeL
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 in ct the owner of the proper use and maintenance
of such safety device.
' ' ER SIGNAT��'
CONTRACTOR SIGNATURE O
STATE OF FLORIDA, COUNTY OFF 3 � L"- CAA_
GJ
NOTARY PUBLIC
The foregoing instrument was acknowledged before me this day oof� IUCl� , 20 1 ` C.
by u'k .
Personally Known or Produced Identification
STATE OF FLORIDA, COUNT2
�V
NOTARY PUBLIC
The foregoing instrument was acknowledged before me
this CLOday of >J1— 20 f3
by \--�Q cv—
Personally Known or Produced Identification
Type of Identification Produced: 1 L (-- Type of Identification produced:
ELLEN VAUGHN ELLEN, VAUGHN
s: 4,Astate of Florida -Notary Public rL*-_-State of Florida -Notary PublicCommission # GG 270079 Commission # GG 270079SLCPDB Revised 07/22/2014 3??0�,� My Commission Expires MY Commission Expires'p1oOctober 222099 October 22, 2022