HomeMy WebLinkAboutAffidavit of Requirement CompliancePLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIRGH41A AVE
FORT PIERCE, FL 34982
(772)462.1553 Faa(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
103.2a :rriycmtSS ttl QM and hereby affirm that one of the following methods
(Please print street addres
�w( (If be used to meet the requirements of Chapter 515, Florida Statutes: (Please initial the method used for pool.)
'l d�• The pool will be isolated from access to the home by an enclosum that meets the pool banier requirements of Florida Statute 515.29.
The pool will be equipped with as 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 Brit alarm that has a minimum sound
pressure rating of 85decibels at 10 feet
All doors providing direct seem from the home to the pact 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 seconddegree,
punishable by fines up to 5500.410 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 and maintenance of such safety device.
The foregoing instrument was acknowledged before me
OWNEBSIGr&TURL
STA E OF FLORIDA, COUNTY OF r (34.01
NOTARY PUBLIC
The foregoing instrument was acknowledged before me
this gay of Linn , 20 this 7 "j'day of /1 .20 'L
by Qi1l1S /k nr1 by Alma
Personally Known or Produced Identification Personally Known )/ or Produced Identification
Type of Identification Produced: Type of Identification produced:
�,iy p�,, KRISTINE MICHELLE TAYLOR
`io`"" e4;'c State of Florida -Notary Public
ow+,,, KRISTINE MICHELLE TAPuhI c
- (/�J•`_ Commission # GG 155575 "'&'oY° ar';. State of Florida-Notary
a,`=�: My Commiesion2E02p res =� Commission 0 GG 155018
SLCPDS Revised 07f22/2014 ,,.. October 29, � •? M Commission Expires
°o.r°:�°� yOctbber 29, 2021
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