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HomeMy WebLinkAboutPool Alarm AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT • Building and Code Regulations Division 2300 VIRGINIA AVE FORT PIERCE, FL 34982 (772) 462-LSB Fax (772) 462-1578 AFFIDAVIT OF REQUIREMENT COMPLIANCE Residential Swimming pools, Spa, and Hot Tub Safety Ad PERINM z I (We) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at `\`2, and hereby affirm that one of the following methods (Please prmt sweet address) will be used to meet the requirements of Chapter 515, Florida Statutes: (Please initial the method used for pool.) B_W The pool will be isolated from access to the home by an enclosure that meets the pool barrier requirements of Florida Statute 51529. The pool will be equipped with an approved safe[}, 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 raring of 85dedbels 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 SL Lude 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. CONTRACTOR SIGNATURE STATE OF FLORIDA, COUNTY OF NOTARY PUBLIC The foregoing instrument was acknowledged before me this day of 20 by Personally Known or Produced Identification Type of Identification Produced: SLCPDS Revised 07/22/2014 OWNEJLSJGiATURE STATE OF FLORIDA, COUNTY OF _ST 4 U [r ( E ') - �-1 &II ILP 7r" [C wl1 NOTARY PUBLIC The foregoing instrument was acknowledged before me this F day of JP,91LCM 20 j 0 by Personally Known or Produced Identification Type of identification produced: VICTORIAOWNNEMCKUHEN i � ..,� Catmissian 8 HH 019895 Eta u Ady 21, 2024