HomeMy WebLinkAboutAFFIDAVIT OF REQUIREMENT COMPLIANCEPLANNING 9,-, DEVELOPMENT SERVICES DEPARTMENT
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Building and Code Regulations )Division
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 Fax (772)462-1578
AFFIDAVIT OF RE, QUIRE COMPLuNCE
Residential Swimming Pools, Spa, and Hot Tub Safety Act
PERMIT'
I (@ c) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at
4551 ST. LUCIE BLVO, FORT PIERCE. FL 34946 and hereby affirm that one of the following methods
(Please print street address)
will 7Tbe
sed to meet the requirements of Chapter 515, Florida Statutes: (Please initial the method used for pool.)
pool will b,: isolated from access to the home by an enclosure that meets the pool barrier requirements of Florida Statute 515.29.
The pool will be equipped with an approved safety pool cover that complies with ASTM F1246.9I(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 minimum sound
pressure rating or85decibeis at 10 feet.
All doors providing direct access from the home to the pool will be equipped with selfctosine, self latching devices with release mechanisms
placed no lowerthan 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 SS00.00 andfor up to 60 days in jail as estnblished in citnpter 775, F.S.
I understand that the St. Lucie County Building Inspections Department assumes no liability for the final inspection of one orlhe
above protective devices, or the lack of maintenance, or the removal of such after the savimming pool has been finalized.
1, the contractor, agree to instruct the owner of the proper use and maintenance of such safety device,
_-eO RAC OR SIGNATURE
STATE OF FLORWA, COUNTY OF ST. LUCIE
NOTARY PUBLIC
The foregoing instrument was acknowledged before me
this i 3 toy of :)!A 1( . 20-2�1
by JAIv1T•,S T. LEONARD
Persona [IV Known X or Produced Identification
OWNERSIGN�ANTURE w :' T�c� �F;
STATE OF-FB@RIDA, COUNTY OF (a. l�Jt—
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Yam,. �I�l ' Aye
NOTARY PUBLIC
V F L Q UO�; ���`•
The foregoing instrument1was ackmowledged befd08ltib
this 1 Z day of �14 t , 20 Z I
by
Personatiy Knovin_-)L_ or Produced Identification
Type of Identification Produced: Type of Identification produced:
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Nv r Notary Public State of Florida
Heather Vizzo
< My Commission GG 262653
9jj o4 A Expires 11 /1312022
SLCPDS Reviscd 07/22/20 =f