HomeMy WebLinkAboutPool Alarm Affidavit PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
• 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
I
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PERMIT# 3 ' C)1 L
I(W )acknowledge that a"new swimming pool,spa,or hot tub will be constructed or installed at
-w���c�p i•.i,tL,9 Vt e ('C.V-_ 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.)
7 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 ool will be equipped with an approved safety pool cover that complies with ASTM F 1246-9 1(Standard Performance Specifications for
fety Covers for Swimming Pools,Spas,and Hot Tubs).
1 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.
)CNTRACTOR
co tractor, ree to instruct the owner of the proper use and maintenance such afe device.
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SIGNAT R SIGNATURE _ ?
STATE OOFOCIDA,COUNTY OF ATE OF FLO DA,COUNTY OF
NOTARY PUBLIC NOTARY PUBL
The foregoing instrument was acknowledged before me A The foregoing instrument was acknowledged before me
this `t day of ,20 O'�'1, this day of ,20
by �ac 11 by ��)►1 W�'e
Personally Known or Produced Identification Personally Known or Produced Identification
Type of Identification Produced: ; L Type of Identification pro`c aced:
ELLEN VAUGHN "" =Floridallotary
UGH'
4pPY PCB �pSF�PUB i
,:State of Florida-Notary Public _� otary PublicCommission # GG 270079 GG 270079My Commission Expires ;;.F PAcon ExpiresOF F�October 22, 2022 , 2022
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