Loading...
HomeMy WebLinkAboutAffidavit of Requirement CompliancePLANNING & DEVELOPMENT SERVICES DEPARTMENT Ouilding and Code Regulations Division 2300 VIRGINIA AVE FORT PIERCE, FL 34982 (772) 462-15M Fax (772) 462-1578 AFFIDAVIT OF REQUIREMENT COMPLIANCE Residential Swimming Pools, Spa, and Hot Tub Safety Act PERMIT # 'Itt(We) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at and hereby affirm that one of the following methods (Please print street address) ! 3 i }ct willbe used to meet the requirements of Chapter 515, Florida Statutes: (Please initial the method used for pool.) LThe 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 F1246-91(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 minimum sound pressure rating of 85decibelsat 10 feet. All doors providing direct access frlom 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 S500.00 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 t inst ct t a owner of the proper use and mainten uch safety de 'ce. rn ArTnn RrC. ❑RR OWNER SIGNATURE STATE OF FLORIDA, C,0UNTY OF��P NOTARY PUBLIC V The foregoing instrument was acknowledged before me this t day by Personally Known V or Produced Identification Type MARLENE L. JONES Notary Public -State of Florida My Comm. Expires Jury 7, 2016 Commission # EE 205818 IgAd,ed Through National Notary Assn. STA OF FLORID Y OF c�T i' J C ( C- ��D� _ NOTARY PUBLIC The foregoing instrument was acknowledged before me this l day of —S E , 201-1 by Personally Known ✓ or Produced Identification______' Type of Identification produced: EDWARO b JENDON., MY COMhtlS ; yy 44�i24 Ejj'FIRES MaY i"'. VP! PLANNIN s & DEVELOPMENT SERVICES D'P'rARTMENT Building and Code Regulations Division ZW 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 ` I We) ackn w ed a that a new s 'mmin ool, spa, or hot tub will be constructed or installed at 4 �s i and hereby affirm that one of the following methods (Please.print st eet address) e used to meet the requirements of Chapter 515, Florida Statutes: (Please initial the method used for pool.) The pool will be isolated from access 1. 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 F1246-91(Standard Performance Specifications for Safety Covers for Swimming Pools, Spas, and Hot Tubs). I 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 placed no lower than 54 inches abovclthe 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 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, ee to instruct the owner of the proper use and maint TV such safety device. I ,I C TOR SIGNATURE �l LI SIGNATU pp/r STATE OF FLORIDA; COUNTY OF \ � l�l�lii e, STATE OF FLORIDA, COUNTY OF J-. Cal .lCr�� NOTARY PUBLICI NOTARY PU LIC The foregoing instrument was acknowledged�before me �1 I this day of & 4XV16t) f ; "201 •' by Personally Known or Produced Identification Type of Identification Produced: I SLCPDS Revised 07/22/2014 The foregoing instrument was acknowledged before me this :.day of ay IewLat.4e 20 by ICI � ��i.(CTY 1 V Personally Known or Produced Identification Type of Identification prod6ced:! 141CHOLE M APONTE MY COMMISSION # EE171354 EXPIRES May 04, 2016• micHOLE M APONTE MY COMMISSION # EE971354 EXPIRES May 04, 2016 {407)398-0753 F dallota cm