HomeMy WebLinkAboutSteininger child safety affadavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations DiAsion
2300 VIRGINIA AVE
FORT PIERCE, FL 349a2
(772)462-155.3 Feel (772) 462.1573
AFFIDAVIT OF REQUIREMENT COMPLIANCE
Residential Swimming Pools, Spa, and Hot Tub Safety Act
reaMrr
l acknowledge that a
5519 Place Lake Dnve. FI Preece new swimming POW, spa, or hot tub will be constructed or Installed at
5579
print street address) — a.,e usurm that one of the following methods
to meet the requirements of Chapter 515, Florida Statutes: (please initial the method used for pool.)
The Pond will be isolates) hoseshoaccess to the home hY an enclosure drat meets the Pon) battiv requirements of Fhmil Statute 515
The pool well be equipped with an 41PProvcd asfet
Y pool cover that complies with ASTM F1246A1lSmndud Per(ormerce Spettfiatians forSafety Coven for Swimming Pools. Spas and Hot Ttrlxl
All doors a owe prontting hrecs acy<s�,�ss/ 11" the ll,,ww
�e+ nnng o(asd<tibcisa[10 fees. �O(/&4; u� J/t�L11 be with Qan can that has minimum sound
All doors providing direct access horn the home to the pool will he equipped with srJ(clovn/&CsrM [thing devices with release Placed no lower than 54 inches above the floor or deck
mcchamsms
1 understand that not having one of the above installed at the purposes, will constitute time of final inspection, or when the pool is completed for contract
a violation of Chapter 515, F,S„ and will be considered as committing a misdemeanor of the second degree•
punishable be lines up to S500.110 and/or up In 60 dass in jail as established in chapter 775. F.s.
1 understand that the St. Lucie ('ounn- Building inspections Department assumes no Itahility for the final inspection o!
abuse protective devices, or the lack of maintenance. or the removal of such after the swimming pool has been rinali, Of nest of the
1, the con act
a• agree to tnstrucl [he'�wner n( the pr[sprr ux and maintenance of such safety device.
NTCTORI
OF FLORIDA, CO
Q�
N ARY PURUC�4
The foregning Instrument was aelme-)edged before me
this_ •- day of
by
Personally Kno. Of Produced IdentifiWion
Type of Identification ed: IQS
NOTARY PUBLIC
STATE OF FLORIDA
Corn# GG954178
Expires 3/912024
SLCPDS Revised 07/2221114
OWNER SIGNATURE
OF FLORIDA.
7'6t l M iaatraeaeht 1 Acknowledged
g before we
this -J� day of , 2020
by I N
Personally Known
Or Produced Identiflotbn
Type of IdeMiOcation produced
Josandre A. (0pfmtarrr
NOTARY PUBLIC
STATE OF FLORIDA
CotmW GG954178
Expires 31912024