HomeMy WebLinkAboutAffidavit of Requirement Compliancer
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
PERMIT # &C- %) 3 M b
I (W ) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at
a0e <-$ and hereby affirm that one of the following methods
/ (Please print stre t address)
will
7 be u ed to meet the requirements of Chapter 515, Florida Statutes: (Please initial'the method used, for pool.)
The pool will be isolated from access to the home by an enclosure that meets the pool barrier requirement's of Florida Statute 515.29.
The ool will be equipped with an approved safety pool cover that complies with ASTM F 1246-91(Standard Pertrotinance Specifieations 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 h4s a m himutn 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 ielease mechanisms'
placed no lower than 54 niches 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 I or'coiitract:.
purposes, will constitute' a violation of Chapter 515,"F:S., and will be considered as committing a misde'megno. ttie 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 finahins'pectioq of one of,the
above protective devices, or theaack of maintenance, or the removal of such after the swimming pool has been finalized:
I;ahe coactor,' ree to•instruct,the owner of the{'proper use and maintenance such afe device.
1A,
C NtRACTOR,SIGNAT RSIG ATURE ?
1, _
STATE OFF O , IDA, COUNTY,OF- VATIOFFLPDA,COLTNTYOF /
NOTARY PUBLIC " NOTARY PUBL + , .
'the foregoing instrument was acknowledged before me The foregoing instrument was acknowledged.before'.me
this day of . ' , 200 this day of , 20 �
r+ Y. y
gr ` "Qrsonally Known ' or Produced Identification Personally Known or Produced Identification
Type of Identification Produced:Type of Identification pr_o�uuced: L�
ti
ELLEN VAUGH"N
"""'' ELLEN VAUGH'
tr d ,r 1i ' • "'7 J�O��Y State of Florida -Notary Public p�Y P�B��i�
Y ,a :State of Florida -Notary Public
Commission # GG 270079 Commission # GG 270079
@c
My Commission Expires q�FOFFIOP� My Commission Expires
1 r mna� October 22, 2022 nim�� October 22, 2022
$LCPDS Revised 67/2VIO14
4
_ +'r ,
'1
i y