HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
COUNTY Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
253 MARINA DR, HUTCHINSON ISLAND
(Parcel Id#/Legal description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number , I acknowledge
that as owner of the above described property, and in accordance with Section
7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring
adequate drainage so that the immediate community WILL NOT be adversely affected.
I further acknowledge that in granting this permit for the development of this property,
St. Lucie County is neither obliged nor liable to provide for, or maintain in any form,
adequate drainage off my property which will not adversely affect the immediate
community.
44-44
Proorty Owner Name (Please Print) �7
i1�4491 zo
Property weer Si ature Date
STATE OF FLORIDA, COUNTY OF . _ 4 . I 1LLA _`
ACKNOWLEDGED BEFORE ME THIS (� DAY OF �I 20 �0
BYL I I LA bQ441 A, G. t WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
PRODUCED DRIVER LICENSE AS IDENTIFICATION.
lie V►ZZ Q
IGGNAT''UREE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
j 6NO)JLMMISSION NUMBER
(SEAL)
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Notary Public State of Florida
SLCPDSD Revised 04/1 1/201 1 Heather Vizzo
My Commission GG 262653HExpires 11/1312022
Z=J1 -- PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 Fax (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
253 MARINA DR, HUTCHINSON ISLAND and hereby affirm that one of the following methods
(Please print street 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 F1246-91(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 3500.00 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 u3-o-affdSZ2nance of such safety device.
CONT OR SIGNATURE OWNM SIGNATURE
TE F FLORIDA, C ! T%� OF ST LUCIE
NOTARY PUBLIC
The foregoing instrument was acknowledged before me
thisQ dayof 4uy \,4S� ,Mac)
by LAMES T LEONARD
Personally Known X_ or Produced Identification
Type of Identification Produced:
:o.►r'" ft;tNotary Public State of Florida
Heather Vizzo
S CV� Led JV2 iA 3/2022 262653
or r
R
NNotaryPublic State of Florida
Heather Vizzo My Commission GG 262653
Expires 11/13/2022
E FLO DA, CO iT OF _ ST LUCIE
NOTARY PUBLIC
The I foregoing instrument was acknowledged before me
this Ut' day of'sU 20 010
by rll?fflDe- "A A. f�77Q�/LQr
Personally Known or Produced Identification X
Type of Identification produced: DRIVER LICENSE
apNO' °uo� Notary Public State of Florida
Heather Vizzo
h ; < My Commission GG 262653
v roinoa�' Expires 11/1312022