HomeMy WebLinkAboutAffidavit of Requirement Compliance04/22/2008 11:83. 7724621578
ST LUCIE CO PAGE 01
ST. LUCIE COLi:4TY
BOARD OF C01JM COMMISSIONERS
2300 VMGIINIA AVKINUE, Flf, MERGE, FL 34992
PERMIT#
Reside tial Swimming Pools, Spa, and Hot Tub Safety Act
.AFFIDAVU Off' REQUIREMENT COMPLIANCE
1(We) acknowledge that a new sarimW�g pool, spa. or hot tub will be constructed or installed at
C'p3 , and hereby affhtn that one of the following methods will be
(P PdntStmdAddtass)
used to meet the tequiremerus of Chapter S15, 'da Statutes. (Ebase initial the method x) used for your boob.
The pool will be isolated'tom access to the home by an enclosure that meets the pool barier requirements of
Florida Statute 51529; �
The pool will be equipped wt an approved safety pool cover that complies with ASIM F 134&91(Standard
Performance Specifications forl Safety Covets 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 minitnum sound pressutelrating of ss decibels at 10 feet;
All doors providing direM as ss from the home to the pool will be equipped with self -closing. self -latching
devices with release meehanisou place no lower than SC above the floor or deck
I understand that not baying one ;of the above installed at the time of final inspection, or when the pool
is completed for contract purpostes, wi constitute a violation of Chapter $15, F.S., and will be consid-
ered as committing a misdemeanor of he second degree, punishable by fines up to S500.00 and/or up to
60 days in jail as established in chapter 715,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 bees finalized.
19 the contractor, agree to instruct theowner of the proper use and; maintenance of such safety device.
CO OR'S 1GNATUff j% OWNER'S SIGN=RE DATE
NOTARY ZMLf, STATE OF FL.
AS TO CONTRACTOR
PERSONALLY KNOWN X
PRODUCED 1p
TYPE
1 xlolw
410TARYMU84y. STATE OF FL.
AS TO OWNER
PERSONALLY KNOWN
PRODUCED 1D
TYPE
TRIS FORM MUST 5r& V 6.vrrTEo WITH ALL P*oLssPAmoT 1rL* T6M11T APPLICATIONS.
Ak"I daft II/IM
i
WENDY M. GRINNELL ��pB,, WENDY M. GRINNELL
4"..
NotaryPublic, State of Florida
Notary Public, State of Florida•c Commission No. DD 687313
Conunissioi i No. OD 687313 ;,,My Comm. Exp. June 20,2011 +;: My Comm. Exp. June 20, 2011
J o 'hro t�::, ; i u�nic Underwriters,�,�� Bondedthru Notary Public underwriters
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