HomeMy WebLinkAboutSMITH POOL ALARM AFFIDAVIT- = PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIRGINIA AVE
FORT PIERCE, F 1. 34982
(772) 462-1553 Fax (772) 462-1 i78
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 piMpgir5n
'ructed or installed at
4295 T!4// DA FTPe/+an herthat one of the following methods
(Please print street address)
will be usedJo meet the requirements of Chapter 515, Florida Statutes: (Please initial the method used for pool.)
The pool will be isolated from access to tit horric by an enclosure that meets the pool barrier requirements of Florida Statute 5I5 29.
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01IM4- Sr c5�,ee re
The pool will be equipped with an approved safety pool cover that complies with ASTM F[246-9I f Standard Performance Specifications for
Safety Covers for Swimming Pools, Spas, and Hot Pubs).
All doors and windows providing direct access from the home to the pool +.ill be equipped with an exit alarm that has a minimum sound
pressure rating of85decibels at 10 feet_
All doors providing direct access from the home to the pool will be equipped with selt'closing, selflatching devices with release mechanisms
placed no lower than 34 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, FS., 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 fine ahzed.
1, the contractor, agree to instruct the owner of the proper use and maintenance f such safety device.
V—) '471
CONTRACT R SIGff RE O S GNATURE
i
STATE OF FLORIDA. COUNTY OF AR7"/rI
N,OT,,eRY PUBLIC
The foregoing instrument was acknowledged before me
this cF!!?iv of , 200,?.
11,7
by Y�� Fid/nH
Personally Known 1/ or Produced Identification
Type of Identification Produced:
E�tY Notary Public State of Florida
s° Lori A Moxley
_
< My Commission GG 260148
�'t°rrL� Expires 1112812022
SLCPD5 Revised 07122/2014
STATE OF FLORIDA. COUNTY OF
dGf rt/ �1rrL�
N ARY PUBLIC
The foregoing instrument was acknowledged before me
4-�
this day of , 20
by.1/����7/
Personally Known or Produced Identification !�
Type of Identification produced:
ss.� • �y. a • yo
e�Y Notary Ptrbtie State of Florida
Lori A Moxley
r �R My Commission GG 280148
?oa pert� Expires t 112812022