HomeMy WebLinkAboutDechiaro Affidavit of Required Compliancet , PLANNING & DEVELOPkiENT SERVICES DEPARTMEINT
wilding and Code Regulations Division
I30 VIRGINIA AVE
FORT PIERCE, FL 34982
(?7?}.152-IS53 Fas(772}461-1578
AFFIDAVIT OF REQUIREMENT CONIPLI NCE
Residential Swimming Pooh, Spa, and Hot Tub Safety act
PERMIT
i (We) acknowledge that a new swimming pool. spa, or hot tub ►vill be constructed or installed at
UC-e /] re C� and hereby affirm that one of the following methods
(Plense print street address)
will be used to meet the requirements of Chapter 515. Florida Statutes: (Please initial the method used for pool.)
Thc pool will be isolated front access to the home by an enclosure chat meets GZc pool banicr requiresne❑is of Florida Statute 515_9.
The pool will be quipped with an approved safely pool cover that complies with AST.\1 Fi3.16-9i(3tandard Pcrforrtatnce Specifications for
3afczy Covers for Swimming Pools, Spas, and Hat Tubs,
,Ul don: s and windows providing direct access from the home to the pool will be equippermi with as exit alarm that has a minimu in sound
pressure rating of 85daibels at 10 fee:.
-•Ul 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 ftrral 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 tip 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 tiabilir3° 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.
1. the contractor, agree to instruct the owner of the proper use and maintenance of such safety device.
— C-2 "'�
CONTk:A C-Tut SIGNATTJRI3
S"IATE OF FLORIDA, COUNTY OF R T %%
NOT, X PUBLIC
The foregoing instrument was acknowledged before me
ll
this day of �o We , 20
by L&Z F16
Personalty known or Produced Identification
Type of Identification Produced:
Notary Public Stan of Florida
• Lori A Moxley
SLCPDS Itevi rl7 l,1My Commtssion GG 280148
a * Expires t 11YHl2D22
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The foregoing instrument was acknowledged before me
this day of UTVe_ , 20�_
by
Personally Known L/ oProduced Identification
Type of identification produced:
El
SHIRLEY LITTLEFIELDNotary Public State of FloridaCommissionr GG 345251 My Comm. Expires Jun 13, 2023ded through National Notary Assn.
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