HomeMy WebLinkAboutAPPROVED Ramgolam Affidavit of Compliance PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIRGINIA AVE
FORT PIERCE,FL 34982
(772)4624553 Fax1772►462-1i78
AFFIDAVIT OF REQUIREMENT COMPLIANCE
Residential Swimming Pools,Spa,and Hot Tub Safety Act
PERMIT#
I (We)acknowledge that a new swimming pool,t,or hot tub will be constructed or installed at
57 At�UW X16 1W and hereby affirm that one of the following methods
(Please print street address)
w" be used to meet the requirements of Chapter 515,Florida Statutes: (Please initial the method used for pool.)
The pool trill be isolated from access to the home by an enclosure that meets she pool barrier requirements of Florida Statute 515.21)
The pool will be equipped with an approved safety pool cover that complies with ASrrM 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 minitttum sound
pressure rating of85decibels 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 andlor 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 swimmFde
I has been finalized.
1,the contractor agree to instruct the ovTer of the proper use and mainte ane 4ofh safee
CONTRALTO SIGNATU OWNER SIGNATURE
STATE OF FLORIDA,COUNTY OF STATE OF FLORIDA,COUNTY OF_ 117e�k 77"
NOTARX,kTBLIC OTARY PUBLIC
The foregoing instrument was_acknowledged before me / The foregoing instrument was acknowledged before me
this Zday of /-12/ .20 a/ this day of ���� ,20
by Ai�/ F/���� by
Personally Known—L:f�—or Produced Identification Personally Known or Produced Identification y
Type of Identification Produced: Type of identification produced: FG D/G
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