HomeMy WebLinkAboutAffidavit of Requirement Complianceore Leo
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PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIRGINIA AVE
FORT PIERCE, FL34932
(772)462-1553 Fer(772)462-1575
AFFIDAVIT OF REQUIREMENT COMPLIANCE
Residential Swimming Pools, Spa, and Hot Tub Safety Act
PERMITA 19 t / p -- ♦.J-4v(�
t (We) acknowled e�t/yat a oe(q'sw/Vin ool, spa, or hot tab will be constructed or installed at
�YQ �
(Pleau print m ee t addreen) V and hereby affirm that one of the fallowing methods
will be used to meet the requirements of Chapter 515, Florida Statutes: (Please initial the method used for pool.)
ZeThe pool will be isolated from saes to the home by an"'a'the' —1 the pool bardamquhemems afFlodda Statute 51529.
The pool will be equipped with an approved safety pool (ever ant complies with ASTM F1246-91(Smndard Performance Specifications for
Safety Covers for Swimming Pools. Spas, and Hot Tubs).
All doom and windows providing direct access from the home to the pool will6e equipped with an exit alarm that has a minimum sound
p=m acing of85deelbelsat 10 feet
All doom providing direct accom fram the home to the pool will be equipped whh selfdosiog, selflatching devices with tt4me merltmismv
placed an lower than 54 inchm above the 11M or deck.
I understand that not having one of the shore installed at the time of final Inspection, or when the pool is completed for camract
purpmes, will constitute a violation of Chapter515, FS., and will be considered as committing a misdemeanor of the second degree,
punishable by Gina up to $500.00 and/or up to 60 days in )ail as established in chapter 775, F.S.
I understand that the St. Lucie County Building Inspections
above protective devices, or the lack of maintenance, or the i
I, the contractor, agree to instruct
The foregoing instrument was aclmawledged before me
this dnyof 201 1(�
.
bylC�{iY)@S -r/� omr
Personalty Known ✓ or Produced Identification_
Type of Identigwdon Produced:
ff
LA 30RSOD:afflorida
MSLy public -Smmission:mm. Expire2ough Nationn.
• the final inspection of one of the
pool has ban Mallzo L
Y OF
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The foregoing instrument was acknowledged before me
this119day of2g tQ
by-" 7e f fl� i� -�--�r
Personally Known4?�=m Produced Identification
Type of Identification produced:
Jean Paul Elie
Commission # GG084360
Expires: March 16, 2021
Zonded thm Aaron Notary