HomeMy WebLinkAboutPool Affidavit= ` PLANNING & DEVELOPMENT SERVICESPART
-Building and Code Regulations Div
MENT
i
2300 V7RGI3VIA AVE 'on
FORT PIERCE, FL 34982
(772)462-1553 Fax (772)462-I57s
AFFIDAVIT OF REQUIREMENT COMp]Lj ANCE
PERMIT # Residential Swimming pools, Spa, and Hot Tub Safety Act
--------------
I (we) acknowledge that a new swimming Poo[, spa, or hot tub will be e4nstructe
1,3339 NW MAPLEWOOD RD Palm City. FL 34990
d C r installed at
(Please print street address)
and hereby affirm that o e of the
Will he used to meet the requirements following methods
of Chapter 515, Florida Statutes: (Please initi
of will be the method used for pool.)
The ' isolated from access to the home by an enclose re that meets the pool barrier re
The pool will ASTM p 12 46-91 Std
bee ments of Florida Stlute 515.29.
a
Safer Snipped with an approved safety pool cover that complies Withanard performance Y Covers for Sw
UTM—g pools Spas, and Hot Tubs .
) Specifications For
All doors and windows providing direct access from the h
pressure rating of 85decibels at 10 feet. ome to the pool will he equipped with an xit alarm thet has a minimum sound
placed no
All doors providing direct access from the home to the poo] will be e
lower than 54 inches above the floor or deck. `luipped with self closing, self tchi
ng devices With release mechartisms-
I understand that not having one at the above installed at the
purposes, will constitute a violation of Chapter 515 F.S. time of final ins
punishable by fines up to $500.00 inspection, or when t e pool is completed or contract
in
will to considered as committing a misdemeanor of the second degree,
and/or up to 60 days in jail established in chapter 775, F.S.
I understand that the St. Lucie County Building Inspections Department assumes
above protective devices, or the lack of maintenance, or
the removal Of Stich after t
sno liability for he final inspection of one of th
I, the contractor, agree to instruct the he w
Oe
ool has been finalized. e
wner of the proper use and maintenance of such safety of ice.
CO CTOR SIG ATURE
STAT OF FLORIDA CO t
, COUNTY OF
NO ARY PUBLIC
The foregoing instrument was acknowledged before me
this _ ll day of ��r(q �
by C 0
Personally Known
—. or Produced Identification
Type of Identification Produced:
6
' �1 "Yt' ALIENE S. DONOVAN
SLCI'DS Revised 07I22�29�A
.'.; MY COMMISSION # GG 014371
EXPIRES: October 1, 2020
anded Thru Nola ry A trbac Unde+writets
OWNER SIGNA'
COUNTY'OF
I
The foregoing instrument was
this X�— day of
by
Personally Known_. or
Type of Identification produced:
wledged before me,=
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Identification
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