HomeMy WebLinkAboutAFFIDAVIT OF REQUIREMENT COMPLIANCEPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIRGINIAAVE
FORT PIERCE, FL34982
(772)467.1553 Faz(772)46711578
AFFIDAVIT OF REQUHtEMENT COMPLIANCE
Residential Swimming Pools, Spa, and Hot Tub Safety Act
PERnuza
I (We) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at
(Please print street address)
�L4Y�P,Gv7 /�r�lC D/u✓� and hereby affirm that one of the following methods
will br, used 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 pact barrier requirements of Florida Statute 515,29,
The pool wi06e equipped withanapprovedsafety pool cover tbat complies with ASTMF1246A1(Stan erformance Specifitations for
Safety Covers for Swimming Pools, Spas, and Hot Tubs), 7/r
All doors and windows providing direct access from the home to the pool will be equipped with exk?arm tt err a minimum wand
pressure rating of85decibels at l0 feet f' /inm—0 /�paL
e
All doors providing direct access firm the home to the pool will be equipped g• g i d o L. 0 iZA
equppe with self self devices with release mechanisms
placed no lower than 54 inches above the floor nr deck
I understand that not having one of the above installed nt the time of Foal 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 lines 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 In the fi¢al inspection ofone of the
abovs: profective devices, or the lack of maintenance, or the removal of such after the swimming pool has been finalized.
L the contractor, agree to instruct the owner of the proper use and maintenance of such safety device.
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CONTRACTO TURF / "O RSIGN RE
STATE OF FLORWA, COUNTY OF C;5� LGCGC
The foregoing instrument was acknowledged before mer
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this Z day of b 6 P 20 NLf_,
by �G21LY ld / k
Personally Known �or Produced Identification
Type of Identification Produced:
STATE OFFLORmA, COUNTY OF
Personally Known. or Produced identification
Type of Identifiation produced:
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