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HomeMy WebLinkAboutAffidavit of Requirement CompliancePLANNING & DEVELOPMENT SERVICES ]DEPARTMENT Building and Code Regulations Division 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 1310 Copenhaver Road Fort Pierce Fl- 34945 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 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 F 1246-9 1 (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 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 protective 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 owner of the proper use and 4CNT11ACTOR SIGNATURE STATE OF FLORIDA, COUNTY OF Saint Lucie 5NOTARY PUBLIC The foregoing instrument was acknowledged before me this by rs 71C.114day of 4-kLQ 202 Hannah Becker Personally Known " ' or Produced Identification Type of Identification Produced: ;o1'xir'duBARWEN D ADAMS '?(.•�,y1� Notary Public - State of Florida , Commission # GG 272920 d1=:r SLCPDS Revised 07/22/2014 °iF•`I My Comm, Expires Oct 31, 2022 Bonded through National Notary Assn. maintenance o safe OWNER SIGNATURE STATE OF FLORIDA, COUNTY OF Saint Lucie NOTARY PUBLIC The foregoing instrument was acknowledged before me th�, day of CiUL�- , 202 by Charlotte M Stahlberg Personally Known " ' or Produced Identification Type of Identification produced: �11RY pG •. io , eon: ARWEN D ADAMS Notary Public - State of Florida Commission#GG272929 My Comm. Expire, Bonded through National ct l Nota, 2022 ry Assn. I X Y PLANNING & DEVELOPMENT SERVICES DEPARTMENT Building and Code Regulations Division 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 # 2j l/—I - I (We) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at 1310 CoPa%4 14AJ'--2 &D . 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 from access to the home by an enclosure that tweets 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 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 protective 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 owner of the proper use and maintenance of such safety device. CONTRAC R SIGNATURE OWNER SIGNA RE STA E OF FL OUNTY OF�— NOTA Y PUBLIC The foregoing instrument was acknowledged before me this Ve day of f{ p1' t , 20 Z Personally Known or Produced Identification Type of Identification Produced:bT`JAfS L tCv�s'Qi SLCPDS Revis 0 "' ' •,) ALEXA KRATT • NotCorida ommission # State Public _ GG 9841139 d My Comm. Expires May 4, 2024 Ass. Banded through National Notaryn STATE F FLORIDA, OUNTY OF N TARY PUBLIC S1. t"Gec-i e— The foregoing instrumentwasacknowledged before me this r4 day of Apr+'1 .20Z by V1.ai�n L 6"1 Personally Known or Produced Identification I Type of Identification producel r �'�S r C C"- C— ;�'jiY P�'+ ALEXA KRATT a� vN Notary Public - State of Florida �'� Commission # GG 984139 cF f� My Comm. Expires May 4, 2024 Bonded through National Notary Assn.