HomeMy WebLinkAboutAffidavit of Requirement Compliance1 I
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
® 2300 VDtGINIAAVE
FORT PIERCE, FL34992
(772) 467,1553
AFFIDAVIT OF REQUIREMENT COMPLIANCE
Residential Swimming Pools, Spa, and Hot Tub Safety Act
PERMIT#
I Ze) ackn!rUge that a n�yv swimmiag pool, spa, or hot tub will be constructed or installed at
Gf�2 �.T (/ .t_a r7Y' and hereby affirm that one of the following methods
(Please print infect address)
will be used to meet the requirements of Chapter 515, Florida Statutes: (Please initial the method used for pool.)
The pool will be isolated from access to the home by an enclosure that meets the pool barrier requirements of Florida Statute 51529.
The pool will be equipped with an approved safety pool cover that complies with ASTM F] 2,46.9 1 (Standard Performance Specifications for
Safety Covers for Swimming Poots, 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
7 �(/ pressure rating of 85decibels ai 10 feet. D 6Lr' a 14 Q{tl�
All doors providing direct access from the home to the pool will be equipped with self dosing, 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 lines up to S500.00 andfor up to 60 days in jali as established in chapter 775, F.S.
r
I understand that the St. Luce County Building Inspections Department assumes no liability for the final Inspection of one of the
above protective devices, or the lack of malnteuauce, 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 maintenan* of such safety device.
The foregoing Instrument was acknowledged before me
Athis dayofvZ
2Qj�,
by v
Personalty Known— r Produced Identification
Type of IdentiflcaUon Produced:
aoAv?rs, SHERRI FEHLUAN
G 4 Commtsslon#GG197160
.,je,• Expires Nardi 14, 2022
SLCPDSRevised0IIIIJ7011 For rya BMW rtw&4MNaWYSW=
OF st W 6c,
The foregoing k &rument was acknowledged before me
this day of a. 202a-
by 1,0I l l a��i�
Personally Known V/ar Produced IdemiRmtion
Type of identification produced:
,ykV.%
?' �r=
Rebecca Dima
Commission If GG060876
% mad�'�4
Expires: January 9 2021
Bonded thru Aaron 140tary