HomeMy WebLinkAboutAffidavit of Requirement CompliancePLANNING & DEVELOPMENT SERVICES Di�rARTMENT
Building and Code Regulations• Division
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462.1553 Fos (772) 462-1578
AFFIDAVIT OF REQUIREMENT COMPLIANCE
Residential Swimming Pools, Spa, and Hot Tab Safety)
PERMIT #
JUN 2 9 .•G?o
STST. Luci�rmitting
I (We) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at
13054 NW GILSON RD., PALM CITY, FL 34990 and hereby affirm that one of the following methods
(Please printstreet 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 515.29.
The pool will be equipped with an approved safety pool cover that complies with ASTM F1246.9l(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 of 85decibels at 10 feet
All doors providing direct access from the hometo 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 dme of flual 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 $500.00 and/or up to 60 days in jall 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.
CONTRA OR SIGNATIIRE,,q::�� _ OWNER SIGNWli , n 1I
The foreg
oin
g
nstru t was acknowledged before me
this,I �"�dayof .20 r_
by s— ✓y
Personally Known or Produced Identification
Type of Identification Produced:1.� L
NOTARY
ate of Flonda
GG 855692
The foregoing Instrument was acknowledged before me —
this � day of �/1l. j'. . 20 cz
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Type of Identification produced:
A.1J+P,••, PATRICIA CO:Notary
!+Notary Public - StateFlorida
SLCPDS Revised 07222014 '+ Commission # G114
,�prty ?. My Comm. Expires J, 2023
Sanded through National Assn.