HomeMy WebLinkAboutAffidavit of Requirement CompliancePLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772)462-1553 Fair (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
3411 INDIAN RIVER DRIVE and hereby affirm that one of the following methods
(Please print street address) t ,y ��^—�
will be used to meet the requirements of Chapter 515, Florida Sta tes: lease Inihahth eWod usedifao piiol ° a
e pool will be isolated from access to the home by an enclosure that meets the pool barrier requirements of Florida Statute 515.2
k1Th
The pool will be equipped with an approved safety pool cover that complies with ASTM 171246-91(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 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 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 fines up 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 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.
�G�'� `
CO RACTOR SIG
STATE OF FLORIDA, COUNTY 5 . L L4 GAG
NOTARY PUBLIC
The foregoing instrument was acknowledged before me
this Ot day of 20 oZ , U
by:J�,yd YK -•IVA
Personally Known ar Produced Identification
Type of Identification Produced:
FWILLIAM H DONOVAN JR
MY COMMISSION# 0GO93576
SLCPD2120MPIRES April 12.2021
The foregoing instrument was acknowledged before me
this —Lr!day of\' J Lin �2 .20
bybGMCi Ie/5Lh2k
Personally Known 1/ or Produced Identification
Type of Identification produced:
[400am Notary Pudic Stets of FioddeKaylin J. Mlay
iOF M1dr E><WroD 10MM023 90aaa1