HomeMy WebLinkAboutAFFIDAVIT OF REQUIREMENT COMPLIANCEPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
LL L..,1, _.........__-
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 Fax (772) 462-1578
AFFIDAVIT OF REQUIREMENT COMPLIANCE
Residential Swimming Pools, Spa, and Hot Tub Safety Act
PERMIT #
I (We) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at
5766 PINETREE DR FT. PIERCE, FL 34982 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 be isolated front 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 F 1246-91(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 minimum sound
pressure rating of 85decibels at 10 feet.
All doors providing direct access fiorn 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 protective devices, or the lack of maintenance, or the removal of such after the swimming pool has been finalized.
I, the contractor, a o instruct he owner of the proper use and WNTN,--NER
of such safety device.
CONTRACTOR SIGNATURE GNATURE o�j
ST T OF FLORIDA, CO TY OF ST OF FLORIDA, COUNTY OF 1 s+� f' •
NO ARY PU LIC NOT Y PUBLIC
The foregoing instrument was,, acknowledged before me a
this day of , , 20_2 ,
by abpO H 41
Personally Known or Produced Identification V
Type of Identification Produced: VV
<Y ��e TONYA S.:Notary
Notary Public • Sida
R`< Commission #
SLCPDS Revised 07/22/2014oF My Comm. Expire024
Bonded through Nationssn.
The foregoing instrument was acknowledged before me
this 0-� day of , 20JJ_
by �IX 116 �C
Personally Known or Produced Identification
Type of Identification produced: �" `'
z'JYAu TONYAS.GUEST
a�� Notary Public • State of Florida
�`' Commission # HH 048045
oF� My Comm. Expires Sep 29, 2024
5
Bonded through National Notary Assn,