HomeMy WebLinkAboutSAFT AFFi _ _ PLANNING & DEVELOPMENT SERVICES DEPARTMENT
• Building and Code Regulations Division
nor 1 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
(Please print street address)
and hereby affirm that one of the following methods
/wiilllbbe 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 ASTM F1246 -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
V 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 r of the proper use and maintenance of such safety evice.
CONTRACTOR SIG ATURE WNER SIGNA
S ORIDA, CO OF 1 �i�
Y PUBLIC
The foregoing instrument
was acknowledged before me
r this day of "� en&U 20 ,
by TIWW
Personally Known —)—(— or Produced Identification
Type of Identification Produced:
EMI
je
Notary Public State of Flooda
Christine A. Marsh
SLCP 1 Vj2 #mm*Won HH 026786
pF p -Pass 00/02/2024
ST E ORID Or
OF
NOTARY PUBLIC
The foregoing instrument was acknowledged before me
this � day of , 20_
by1
Personally Known or Produced Identification
Type of Identification produced:
EE9
tate of Florsaarsh
HH 026766
024