HomeMy WebLinkAboutPool affidavit = PLANNA & DEVELOPMENT SERVICES 10.ARTMENT
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 Safe Act
� P � Safety
i
PERMIT#
I(We)acknowledge that a new swimming pool,spa,or hot tub will be constructed or installed at
2019 f 61AL FEaN CT PAUM C lTl FL 3q94c , and hereby affirm that one of the following methods
(Please print street address)
wil be ed 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$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 fmal 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.
CONTRA TOR SiGNbURE OWNER SI TURE
STAT OF FLORIDA,COUNTY OF M�Q TI STATE O FLORIDA,COUNTY OF MA4-r %)
NOTARY PUBLIC NOTARY PUBLIC
The foregoing instrument was acknowledged before me The foregoing instrument was acknowledged before me
this z day of 00VE14,PgFY ,20 P., , this Z day of NOVEI-(��
by lq�0 ) by M 11.(CEy f (L/JAtJD�L'
i
Personally Known or Produced Identification Personally Known or Produced Identification
Type of Identification Produced: Type of Identification produced:660e6r1. o IL 0(R1 tP 71 o
DOREEN J.BUFFA
MY COMMISSION#FF 928213 DOREEN J.BUFFA
' EXPIRES:January 3,202 ,,,
Underwdl8� `_ MY COMMISSION#FF 928213
op. or gended Thn+Notary �• :,; EXPIRES:January 3,2020
SLCPDS Revised 07/22 %'f pF 4p' Bonded Thru Notary Public Underwrit m