HomeMy WebLinkAboutAPPROVED Felch child safety affadavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIRGINIA AVE
FORT PIERCE, FL 34902
(772)462-ISM Fn(n2)462-1575
AFFIDAVIT OF REQUIREMENT COMPLIANCE
Residential Swimming Pools, Spa, and Hot Tub Safety Act
PERMIT a
1(We) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at
5419 Stately Oaks St, Ft Pierce FL and hereby affirm that one of the following methods
(Please print street addresst
will be used to meet the requirements of Chapter 515, Florida Statutes: (Please initial the method used for pool.)
�L The pool will be isolated from access to the home try an encloaue that meets the pistil barrio retpsuemems of Florida Statute 515.2W
The pool will be equipped with an approved safely, pool cover that complies with AST 4 1`1246.91(Sundard Performance Specifiwuons for
Safety Covers for Switrmting Paoli, Spas, and Her Tubal.
Altda smisod windows providing dircen accell from the home to the pool willbe equipped,+rph an exit alarm that has a mini0m m sound
.pressure hung of 95dettbels at 10 (co. � (J (.jam Tom- �U� L fi-� AK nA
All doors providing direct access from the home to the pool will be equipped with self closing, self latching devices with release mechanisms
placed ra lower than 54 inches above the floor or deck.
I understand that not hosing 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 51 S. 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 pod has been fiaaliaed.
I, the contractor, agree to Instruct the owner of the proper use and mdn enance of such safety device.
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NOTAR}f PUBLIC 6)
The foregoing Instrumem was acknnwledged before me
this- Z� dayof 0'
by
Personally Known V or Produced kkntOketion
Type of Identification Protltrcad:
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p yIdfy NO
S TTARY PUBLIC
ATE OF FLORIDA
" Cpptryi GG954178
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47TATE OF FLORID COUNTY OF
NOTARYPOILIC
The foregoing instrument was acknnwiedgtvl before me
ihq�_dayof L'' .20
by �LV ✓f -�'t
Personally Known or Produced IdeMlRtatlon
Type of Identification pyr ed: J a'r 'ra A� r hat
eN iz" FTSBCIC
9P STATE OF FLORIDA
Caranft GG954i78
rro EI9�° ExJtfeS 31912024