HomeMy WebLinkAboutHolzmacher Barrier AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 V1RCIN1A 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 #
1(We) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at
101 RS 4ieAr,r c RA F�. Pre=« f 14 34445 and hereby affirm that one of the following methods
(Ple a print street address)
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be used to meet the requirements of Chapter 515, Florida Statutes: (Please initial the method used for pool.)
V O The pool will be isolated from access to the home by an enclosure that meets the pool harrier 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.
1 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 tines up to $500.00 and/or up to 60 days in jail as established in chapter 775, F.S.
1 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.
1, the contractor, agree to instruct the owner of the proper use and maintenance of such safety
v- Geor-o
CO RACTO IGNATURE OWNER SIGMA
STATE F FLORIDA, COUNTY OF M ar•("; n STATE OF FLORIDA,, COUNTY OF N Q r T i A
NOTARY UBLIC ATAVLIC
The foregoing instrument was acknowledged before me The foregoing instrument was acknowledged before me
this --day of Dees Minn. .2000 this —day of pP.CS M6 tf 12020
by he. S'labl: by Georg¢ �a)ZMA-cl.ar
Personally Known or Produced Identification Personally Known or Produced Identification_�
Type of Identification Produced: Type of Identification produced: Pri VBrf 1-;GGA6G
•; •"" ROD J.MAINE
WCOLMAISSO-A GG 249819 E=pCom01iss2WMG24G
% or Flood.
E'�"•s, •,�y`.I EXPIRES: Nomrnber4, 2022
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