HomeMy WebLinkAboutAFFIDAVIT OF REQUIREMENT COMPLIANCEPLANNING & DEVELOPMENT SERVICES DEPARTMENT
`"#LJTJNdy—';--= 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
3426 SOUTHERN PINES DR 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.)
-14 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
pressure rating of85decibels 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 S500.00 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 andTlaintg*ce of such safety device.
SPATE OF FLO I A COUNTY OF ST LUCIE STATE OF FLORIDA, COUNTY OF ST LUCIE
NOTARY PUBLIC NOTARY PUBLIC
The foregoing instrument was acknowledged before me
this day of �� C'a`c 20A_Q,
by LAMES T LEONARD
Personally Known X_ or Produced Identification
Type of Identification Produced:
LUCY BARCCIO
Notary Public - State of Florida
Commission 4 CC 937274
n MY Comm. Expires Dec 4, Z023
SLCPDS Revised 07/122014 3onded through N'a"anal Nctary Assn.
The foregoing instrument was acknowledged before me
this 2 J day of Me,7%\f , 20y
by JONATHAN HOYT
Personally Known or Produced Identification X
Type of Identification produced: DRIVER LICENSE
LUCY BAROC10
Notary Public - State of Florida
Commission : GG 937274
My Comm. Expires Dec 4, 2023
Bonded through Nadcna; Notary Ass-.