HomeMy WebLinkAboutAffidavit of Requirement Compliancen PLANX, -L fs & DEVELOPMENT SERVICES —PARTMENT
° - Building and Code Regulations Division
2300 VIRGIMAAVE
FORT PIERCE, FL 34982
(772) 462-1553 Aluno:) alon-1 '1S
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AFFIDAVIT OF REQUIREMENT COMPLIANCE OZOZ I E 330
Residential Swimming Pools, Spa, and Hot Tub Safety Act
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PERMIT #
I (We) ackn gJadge that a esv swipn11 mg pogl, s a, or hot tub will be constructed or installed at
1-7 4 ram_ n1 o p 1 r'#OH , and hereby affirm that one of the following methods
(Please print street address)
will be u ed 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 ASTM 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 home to the pool will be equipped with an exit alarm that has a minimu m 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 th er of the proper use and maintenance of such safety device.
2
CONTRACTOR SIGNATURE OWNER SIGNATURE a
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T FLO COU O F ORI OF
TARY PUBLI Og��
TARY PUBLIC
The foregoing instrument was acknowledged before me The foregoing instrument was acknowledged before me
this day of , 20_2;!0 this day of �'eL� 20�
Personally Known _Y6 r Produced Identification Personally Known—y— or Produced Identification
Type of Identification Produced: Type of identification produced:
otpgj{P;ev SHERRI FEHLMAN
Commission # GG 187160 SHERRI FEH( MAH
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�9& Expires March 14, 2022 Commission # GG 187160
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SLCPDS Revised 04/11/2011