HomeMy WebLinkAboutPOOL AFF OF REQUIREMENTSPLANNING & DEVELOPMENT SERVICES DEPARTMENT
egoBuilding and Code Regulations Division
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
1772)462-1553 Fas(772)462-1178
AFFIDAVIT OF REQUIREMENT COMPLIANCE
Residential Swimming Pools, Spa, and Hot Tub Safety Act
PERMIT #
1 (We) ackno led a that a new swimming pool, spa, or hot tub will be constructed or installed at
�� , and hereby affirm that one of the following methods
{Please priFYsireet address)
w;Fd to meet the requirements of Chapter 315, Florida Statutes: (Please initial the method used for pool.)
The pool will be isolated from access to the hone by an enclosure that meets die pool barrier requirements of Florida Statute 515.29.
The pool will be equipped with an apprmed ;afety pool cover that complies with ASTNI 1`1246-416tandard Perrormance Specifications For
SateiN Covers for Swimming Pools, Spas. and Hot Tubs).
:\II doors and windows providing direct access f-om the home to the pool brill be equipped with an exit alarm that has a minimum sound
pressure rating of$5decibelsat 10 feet.
All doors providing direct access from the home to the pool kill be equipped with self closing, ;elf 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 hints up to $500.00 and/or up to 60 days in jail as established in chapter 775, FS.
I understand that the St. Lucie County Building Inspections Department assumes no Lability 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.
1, the contractor, agree to instruct the owner of the proper use and maintenance of such safety device.
CONTRACTSIC. NAT F OWNER SIGNATURE
STATE OF FLORIDA, COUNTY OF%�iPT�/�
NOTARYIfUBLIC
The foregoing instrument was acknowledged before me
STATE OF FLORIDA. COUNTY OF
i
The foregoing instrument was acknowledged before me
r this � day of �T u^ . �1 G1-d , 20 �1 this I? day of +� , 20�
by K ICJ / �� %%f� b. %l Gl S �.S eyof c�rwL
Personally Known Produced Identification
Type of Identification Produced:
SLCPDS Revised 07/22/2014
Personalty Known or Produced Identification !'
Type of Identification produced: