HomeMy WebLinkAboutAffidavit of Requirement CompliancePLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIRGINIA AVE,
FORT PIERCE, FL 34982
(772) 4624553
AFFIDAVIT OF REQUIREMENT COMPLIANCE
Residential Swimming Pools, Spa, and Hot Tub Safety Act
PERMIT #
Iffe) ackno%v that a new swimming ol, spa, or hot tub will be constructed or installed' at ,
'7 �3 � /V d A�W do do 4 �� and hereby affirm that oneof 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.)
The pool 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 AST&l F1 246-91 (Standard Performance Specifications for
Safety Covers for Swimming Pools, Spas, and Hot Tubs).
All doors and windows providing direct access from the ome to the ooI will be equipped with an exit alarm that [ins a minimu m sound
pressure rating,of 85decibels at 10 feet.)>� tom-.
—19 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 aftyr the swimming pool has been finalized.
I, the contractor, agree to instruct the owner of the proper use and
CONTRACTOR SIGNATURE
of such safety device.
TA . 'OF FLORID TL' NY dfi •. ATE J UNTY OF `
N TARY PUBLI OTARY •
The foregoing instrument was acknowledged before me
tltis A day of Al"V 20 26
Personally Known or Produced Identification
Type of Identification. Produced:
SHERRIFEHLMAN
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Commission # GG 187160
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Expires March 14, 2022
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Bonded rlm acd,et notary Seri=
SLCPDS Revised 04/11/2011
The foregoing instrumentwasacknowledged .before me
this day of 20yV
Personally Known for Produced Identification
Type of Identification produced:,
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Rebecca Dirna
# GG060876
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Commission
Expires: January 9, 2021
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Bonded thru Aaron Notary
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