HomeMy WebLinkAboutPool Alarm Affidavit O
bi
O
w
gig
gig
Rill luxlip- W
URI
Rif
STATE OF FLORIDA r
ST. LUCIE COUNTY
,THIS IS TO CERTIFY THAT THIS IS A
TRUE AND CORRECT COPY OF THE °
ORIGINAL .
JOSEPH E. SMIT LERK
By:
putt'C tk
Date:
I
PLANNING &DEVELOPMENT SERVICES DEPARTMENT
° Building and Code Regulations Division
2300 VIRGINIA AVE
C FORT PIERCE,FL 34982
IRE
C C E I _ (772)462-1553 Fax(772)462-1578
4 AFFIDAVIT OF REQUMEMENT COMPLIANCE
Residential Swimming Pools,Spa,and Hot Tub Safety Act
PERMIT#
I(We)acknowl d e hat a ne mmin 1,spa,or hot tub will be constructed or installed at
3Q l�q • �-h � , and hereby affirm that one of the following methods
(Please print street address)
will 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 51529.
The pool will be equipped with an approved safety pool cover that complies with.ASTM F 1246-9 1(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,the contractor,agree to instruct the owner of the proper use an enance of ch safety device.
I
CONTRACT O IG OWNER SIGNA
IS A OFF C UNTY OF v�• ST OFF UNTY OF V�.
LL
I
OTARY PUBLIC NOTARY PUBLIC
I
he foregoing instrument was ac owledg before me The foregoing instrument was ac owled before me
—3this 1 day of `� 20 this day of 20/_(49
i pp
by by C_• r
Personally Known or Produced Identification Personally Known or Produced Identification_
Type of Identification Produced: Type of Identification produced:l'—Ld/L
FARA D HERNANDEZ o. ;� FARA D HERNANDEZ
MY COMMISSION#FF172419 MY COMMISSION#FF172419
� 'OQ �C�I pr•
d•� ,; o?:p14EXPIRES October 28,2018 ••,. oF,Lo?:` EXPIRES October 28,2018
SLCPDS Re ¢a� 0 Floridallota Service.com( ry (407)396-0153 FloridallotaryService.com