HomeMy WebLinkAboutAPPROVED, POOL ALARM AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VlRGINiA AVE
FORT PIERCE, FL 34982
(772) 462-1553 Fax (772) 462-1578
AFIiMAViT OF REQUIREMENT COMPLIANCE
Residential Swimming Pools, Spa, and Hot Tub Safety Act
PEIRNIIT 9
I (We) acknowledge that a new swimming pool, spa, or trot tub will be constructed or installed at
Z S. 6, L646C ? Z� C?d 4 g r 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.)
Y The pool will be isolated from access to the Dome by an enclosure that meets the pool harrier requirements ofFlarida Statute 515.29.
The pool will be equipped with an approved safety pool cover that complies with ASTM F1246-91(Standard Performance Specifications far
Safety Covers for Swimming Pools. Spas, and Not Tubs).
All doors and windows providing direct access from the home to the pool will be equipped with an exit alarm that has a minimum sound
pressure rating of 85decibets 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 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 profective 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 ownrr of the proper use and maintenance of such safety device.
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CONTRA.CTO ATURE / - OWrdA SIGNATtrhE
STATE OF FLORIDA, COUNTY OF 4;��7 STATE OF FLORIDA, COUNTY OF
N A1tY PUBLIC NOTARY PUBLIC
The foregoing instrument was acknowledged before me
this�,�4ay of 20'c�-/
by Ti 12 ;a
Personally Known or Produced Identification
Type of Identification Produced:
J13ANNEWILLS
Commission # GG 272613
SLCPDS Revised 07/221201 �� ?'� Expires Febwar.120, 2023
Bonded ThNTroy Falnlnwrance8003851i119
The foregoing instrument was acknowledged before the
this dy of �My
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byAw; err -
Personally Knlwn_i✓L or Produced Identification
Type of Identification produced:
�FPYA�Ir JOANNE WILLS
AW
COmm156fOn 3� GG 272613
Expires February y 20. 2023
�'^;R; ° ' Bonded Thm Troy Fain lnsuranca 000,335.1019