HomeMy WebLinkAboutPool Alarm Affidavit PLANNIQ& DEVELOPMENT SERVICES INARTMENT
. .. Building and Code Regulations Division
2300 VIRGINIA 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#
I�We)acknowledge that a new swimming pool,spa,or hot tub will be constructed or installed at
001 NW k4DCL(RCE PJA V C(( 3 P140 and hereby affirm that one of the following methods
(Please print street addres)
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 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.
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 and maintenance of such safety device.
�— O own
CONTRe1CTOR SIG ATURE M OWNER SIGNATURE
STATE OF FLORIDA,COUNTY OF 1 AILI,NI STATE OF FLORIDA,COUNTY OF M AM t /
NOTARY PUBLIC NOTARY PUBLIC
The foregoing instrument was acknowledged before me The foregoing instrument was acknowledged before me
this Z 3 day of Ml &t4 920 0 this Z 3 day of N AIC 14 ,20)r7
by�� r by K(M Am 5A
Personally Known f motion Personally Known or Produced Identification
?Zrt.Py�t*= MY COMMISSION#FF 928213
Type of Identificati i `d•EXPIRES:January 3,202o Type of Identification roduced:
'•F ov N°,r• Bon
Py° DOREEN J.BUFFA
*; *- MY COMMISSION#FF 928213
', EXPIRES:January 3,2020
RPBba' Bonded Thru Notary Public Underwriters
SLCPDS Revised 07/22/2014