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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) ��► :dP 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