HomeMy WebLinkAboutAffidavit of Requirement CompliancePLANNING & 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
PERNIIT # an
I (We) acknowledge that a new swimming pool, spa, or ho
1313 Loner Pint Dr.
(Please print street address)
t tub will be constructed or installed at
and hereby affirm that one of the following methods
will
iilt�1./��l)�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 incites 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 S500.00 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 mainte nc Jsu afety device.
CONTRAC SIGNATURE �v OWNER SiGNATUR
STATE OF FLORtDA, COUNTY OF J'C •G «-
NOTA f PUBLIC
The foregoing instrument was acknowledged before me
this 08 day of SCt Ae4y.i6 e - , 20 W
by 1. 6V Sb1Jc J&6s 6yL rK
Personally Known or Produced Identification t✓
Type of Identification Produced: Doi tars its W'0LSG.
.............. ALEXA KRATT
Notary Public - State of Florida
SLCPDS Revised 07/2 Z��` Commission # GG 984139
c tt My Comm. Expires May 4, 2024
Bonded through National Notary Assn.
STATE OF FLORIDA, COUNTY OF L"Zi L
NOTARY PUBLIC
The foregoing instrument was acknowledged before me
this 68 day of Sc�ontiber , 20 ZD
by ]Is ; l l : c, r,.•. T: l l burl /
Personally Known or Produced Identificationy
Type of Identification produced: t'.yex s 1.••I C G't.S G
'ti►7�Y'�y �ALEXA KRATT
Notary Public -State of Florida
Commission # GG 984139
My Comm. Expires May 4, 2024
Bonded through National Notary Assn.