HomeMy WebLinkAboutAffidavit of Requirement CompliancePLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 IAAVE _ RECEIVE®
FORT PIERCE, FL 34982
(772) 462-1553 Fax (772) 462-1578
AFFIDAVIT OF REQUIREMENT COMPLIANCE 11 ?
Residential Swimming Pools, Spa, and Hot Tuh;8Taf6tyiAc unty,
PERMIT #
I (We) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at
Z V-4 v? -:7--a A4 /- T ,0i QZ 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.)
ool 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.
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 instr t the owner of the proper use and mainten a of such safety device.
CONT lllIIIRACTOR ATURE OWNER S
STA OF FLO A, COUNTY OF�S TE OF FLORID COUNTY OFdi�
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N&J"t PUBir NOTCY PUBLIC `^`I
The foregoing instrument was acknowledged before me The foregoing instrument was acknowledged before me
this _day of 4 U80f , 20-�
by ` a(Y 1A
Personally Known_ or Produced Identification
this / ® day of a•G! O.e0le , 20/'7
by (?aza1V76AVe A L Xycf1 AA-C-
Personally Known or Produced Identification
Type of Identification Produced: Type of Identification produced: / 4-- 0 L-
Gwyneth Ellyn Wood
,., .. Notary Public, State of Florida
Commission No. FF 988516
SLCPDS Revised 07/22/E014 My Comm, UP. May S. 2020
�j �.r' • Notary Public State of Florida
? , Sabrina ' Arrington
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of Flom a c �3 Ex a, - on GG A08279
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