Loading...
HomeMy WebLinkAboutSURNIAK AFF OF REQUIREMENT COMPLIANCE- PLANNING & DEVELOPMENT SERVICES DEPARTMENT Building and Code Regulations Division 2300 VIRGINIA AVE FORT PIERCE, FL 34482 f772) 462-1553 Fax (772) 462-1578 AFFIDAVIT OF REQUIREMENT COMPLIANCE Residential Swimming Pools, Spa, and Hot Tub Safety Act PERMIT ff I (We) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at dSyq iiQf� PL 1054 fL .3f�9�6, and hereby affirm that one of the following methods (Please print street address) will be used to meet the requirements of Chapter 515, Florida Statutes: (Please initial the method used for pool.) The pool will he isolated teom access to the home by an enclosure that meets the pool barrier requirements of Florida Statute 51 5_29_ The pool will he equipped with an approved safety pool cover that complies with ASTM F12 t6-9I f Standard Performance Specifications for Safety Covers for Swimming Pools, Spas. and Hot Tubs). All doors and windows providing direct access trom the home to the pool will be equipped with an exit alarm that has a minimum sound pressure rating of85decibelsat 10feet. All doors providing direct access from the home to the pool will be equipped with selfclosing. 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, still 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 $500.00 and/or up to 60 days in jail as established in chapter 775, F.S. I understand that the St. Lucie County Building Inspections Department assumes no liability for the final inspection of one of the above protective devices, or the lack of maintenance, or the removal of such after the swimming pool has been finalized. I, the contractor, agree to instruct the owner of the proper use and maintenance of such safety device. F CONTRACTOR SIGNATURE OWNER SIGNATURE STATE OF FLORIDA. COUNTY OF ' W -71 NOTAICY PUBLIC The foregoing instrument was acknowledged before me STATE OF FLORIDA, COUNTY OF _ ZZWe7!- OTARY PUBLIC The foregoing instrument was acknowledged before me this day of W-'. 20—�/, this day of 20--?/— Personally Known ti or Produced Identification Type of Identification Produced: B �r �r °'Q° '40ary Public Sta a of FiOFida •� � F "' Lori A Mox1i.y a My Commission GC 280148 ,•ar.. g,cf~ E: Pires 1112312t)22 SLCPDS Revised 07/22/2 : Personally Known or Produces! Identification L/ Type of Identification produced: fz- PZ-/ 5"" 5a7 .5/a0 • si O05.e 4$^c11'111*"1-l0r ' +• rPY1�1a 7AMoxhpy State of:F11cnJdaL ion GG 2 E312o22