HomeMy WebLinkAboutSAFT AFF PLANNING & DEVELOPMENT SERVICES DEPARTMENT
MEW Building and Code Regulations Division
vommmmlwmmmmmuw 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
2702 BENT PINE DR FORT PIERCE FL 34951 and hereby affirm that one of the following methods
(Please print street address)
ts
ter
will
used
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l w 1 be solalqed from actress too the home b an Sncrl'ouredthatsmaetsthe• (Please
lbarrier initial the method used for pool.)
y y p requirements of Florida Statute 515.29.
The pool will be equipped with an approved safety pool cover that complies with ASTM F 1246-9 1(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.
CONTRACTOIJ SIGNATURE OWNER SIGNATURE
STATE OF FLORIDA,COUNTY OF- 2 -U—UJ �t STATE OF FLORIDA,COUNTY OF MARTIN
k� GWYNETH ELLYN WOOD
rTARY PUBLIC NOTARY PUBLIC p ^;� a
The foregoing 1
o egotng instrument was acknowledged before me The foregoing instrument was acknowledged before me
30 DECEMBER 20
this J t/ day of y}( Q ,20�, this day of 20
by TUVU by JIM BROCKWAY
I Personally Known �or Produced Identification Personally Known or Produced Identification X
Type of Identification Produced: Type of Identification produced: FLORIDA D L
GVWNETH ELLYN WOOD
= Notary Public,State of Florida
JOANNEWfLl9 ; c �= Commission No.GG 987026
,. ,.... o. ? `Fc.
Commission#GG 272613 My Comm.Exp.May 11,2024
SLCPDS Revised 07/22/2014 Expires February20,2023
..... ' Bonded Thru Troy Fain Insurance 800.385.7019
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