HomeMy WebLinkAboutPool Alarm Affidavit - PLANNING& DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VI RGINIA AVE
FORT PIERCE,FL 34982
(772)462-1553 Fax(772)462-1579
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
AL l-;—"A ✓0 A'n , and hereby affirm that one of the following methods
(Please print street address).
will be used to meet the requirements of Chapter 515,Florida Statutes: (PIease initial the method used for pool.)
The pool will be isolated firom access to the home by an enclosure that meets the pool barrier requirements of Florida Statute 515.29.
• i
The pool will be equipped with an approved safety pool cover that complies with ASTM F1246-91(Standard Performance Speoificaticns for
Safety Covers for Swimming Pools,Spas,and Hot Tubs).
� I
Ali doors and windows providing direct access from the home to the pool will be equipped with as 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$500.00 and/or up to 60 days in jail as established in chapter 775,F.S.
I understand that the St Lucie County Building Inspections Department assumes nor liability for the final inspection of one,of the
above protective devices,or the lack of maintenance,or the removal of such after the swimming pool hps been finalized
1,the contractor,agree to' ct the caner of the proper use and maintenance sych safety device.
i
CONTRACTO ATIIRE / O GNATURE
Sr. TE OF FLORIDA,COUNTY OF Vt/l�l � STATE OF FLORIDA,COUN O - &LC i
RV -I Q
N LIC NOTARY PUBLIC
The foregoing Instrument was
ll acknowledged before me The foregoing instrument was acknowledged before me
this�d of ( J ,20__/'L this�4 07day of �'�° ,200�
by :12rnq 10) by b ma 11 i 1 i ,1
Personally Known or Produced Identification Personally Known ✓ or Produced Identification
I I
Type of Identification Produced: Type of Identification produced:
JAY ME CHAVEZ �;:�se$ 0 JNE WILLS
t MY COMMISSION#FF991925 Commission#FF 188304
SLCPDS Revised 0 712 2/2 0 14 EXPIRES M
a ,2020 y 12 ,. .:.4 Expires February 20,2019
F• ';:vu Troy Fain Insurance 8M85-7019
(407)39P-0153 Flo,idallolaryService.com ., ;s--�� � ����;y,r,,,,t.•�