HomeMy WebLinkAboutPool Alarm Affidavit PLANNING&DEVELOPMENT SERVICES DEPARTMEENIh
Building and Cade Regulations Division L
2300 VIRGLINZAAVE
FORT PIERCE,M34982 MAR 16 201s
(772)462-1553 Fax(772)462-1578
PER.Ml?TI yG
AFFIDAVIT OF REQUIREMENT COMPLIANCE St. Lucie County, FL
Residential Swimming Pools,Spa,and Hot Tub Safety Act
PERNRT#-
I e)acknowledge that new swimming pool,spa,or hot tub will be constructed or installed at
���o o lu W 0.�G OTIU rn & , and hereby affirm that one of the following methods
(Please print street address)
MA 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 barrierrequirements of Florida Statute 515.29. °-r1 o a.-+t�� '1
t$1 a?? V71
The pool will be equipped with an approved safety pool cover that complies with ASTM F124691(Standard Performance Specifimlions 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 thatthe 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 and maintenance of such safety device.
CONTRACTO G ER SIGNA .
7 COUNTY OF4. �wC. ST OF OUNTY OF
Q
OTARY PUBLIC NOTARY PUBLIC
The foregoing instrument was acknowledged before.me The foregoing instrument was acknow ed before mery
this day of�I ,20 I / , this I day of ,20 I t
b ( Y�h 1S'61 t � by Wd [&-
i
Personalty Known V or Produced Identification Personally Known or Produced Identification
Type of Identification Produced: Type of Identification produced: �1J(e
I
YP =o�' FARA D HERNANDEZ
`�G�:. FARA D HERNANDEZ -= A.
i MY COMMISSION#FF172419
MY COMMISSION#FF172419
EXPIRES October 28,2018
EXPIRES',October 28,2018 '`••••••••
SLCPDS Rev A7dBIY-U4 FforidallotaryService.com (ao�l3s8ot57 FloridallotaryService.com
I