HomeMy WebLinkAboutAffidavit of Requirement Compliancel
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 REQUMEMENT COMPLIANCE
Residential Swimming Pools, Spa, and Hot Tub Safety Act
PERMIT #
I (We) knowledge that s�n�ew/ pool, s or hot tub will be constructed or installed at
OY d 4 i�l�//� t'" - � X , 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 poolbarrier requirements of Florida Statute 515.29_
The pool will be equipped with an approved safety pool cover that complies with ASTM F1246-9 I (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 lowerthan 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 constitate.a violation of Chapter.515, F S., and will.be considered as.committing a .tmisdemeanor.of.the. second.degme,
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 cepArtketor, agree to instruct the owner of the properuse and maintenance of such safety device.
NOTARYSTATWEFLOREDA, COUNTY OF
/
The foregoing instrument was acknowledged before me
this day of l / CST , 20—CL—V
by &t V—) e
Personally Known or Produced Identification
The foregoing instrument was acknowledged before me
this I day of U V� , 20�
by G-f 1-1 f= e
Personally Known or
Type of Identification Produce 4
Type of Identification
SLCPDS Revised 07/22/2014 ;�tsY°b�' , AUDREY B. HUMPHREY
MY COMMISSION # GG 300817
v EXPIRES: March 6, 2023
Thru Notary Pe'?!ic Underss`? rs�
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Identification
AUDREY B. HUM`,: i;
MY COMMISSION #i :_ ; -N0317
EXPIRES: Marc! 3
Bonded Thru Notary R. tee