HomeMy WebLinkAboutPool Alarm Affidavit 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
8632 LONESOME PINE TRAIL,FT.PIERCE FL. and hereby affirm that one of the following methods
(Please print street address)
ter
ease
d used
wilil be used to he requirements
eFlast ' olntahonOr pool.)ol ll
from access the oma by an enclosure that ( barrier requirements of Florida Statute
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$500.00 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, he contractor,agree to instruct the owner of the proper use and maintenance of such ety device.
CONTRACTOR GNATURE OWNER SIGNA
STATE OF FLORIDA,COUNTY OF L U C I E TATE OF FLORIDA,COUNTY OF "Y P, �l NY RALPH GACNEfffi
MY OOMIWSSION I PF 162261
EXPIRES:August 19,2019
TARY PUBLIC NOTARY PUBLIC 'T Rf�� goaded Yhru Notary Public Undewritera
The foregoing instrument was acknowledged before me The foregoing instrument was acknowledged before me
r
this day of ` �+� ,20_[�l this O day of_ V b 120i
by ��1�'C-I1Y19 C1�5hl i�� by 1� g�rrg4h
Personally Known� or Produced Identification Personally Known or Produced Identification
Type of Identif Type of Identification produced:
JEIWRALPI.GAGIIEITE
MY COMMISSION.! F 152261
•, EXPIRES:August l8,tote
®ondad Thru Notary Publie Undervrd..
SLCPDS Revised 07/22/2014