HomeMy WebLinkAboutFilled Land and CompliancePLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORTPIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property.
LOT— r I)ktik 2-8 Pj Pie(6c- Shar I 2)'La oqr- do
(Parcel
I'T. Ae'-Ce_ FL
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number , I acknowledge
that as owner of the above described property, and in accordance with Section
7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring
adequate drainage so that the immediate community WILL NOT be adversely affected.
I further acknowledge that in granting this permit for the development of this property,
St. Lucie County is neither obliged nor liable to provide for, or maintain in any form,
adequate drainage off my property which will not adversely affect the immediate
community.
'K. 1-01ccio
Property Owner Name (Please Print)
Property Owner azure Date
STATE OF FLORIDA- COUNTY Ok)f �2_C( ((- C�
ACKNOWLEDGED BEFORE ME THIS L DAY OF
BY
SLCPDSD Revised WI1/2011
WHO IS PERSONALLY KNOWN TO ME (El OR WHO HAS
C:6711f17A�YYltl[�a Y[i7�A
TYPE OR PRINT NOTARY
a
AMON Publse Shea of Flanda
Janae BeauchampMy Commissm HH 024655
Expiroa 07/28 2024
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1.553 Fax (772) 462-I578
AFFIDAVIT OF REQUIREMENT COMPLIANCE
Residential Swimming Pools, Spa, and Hot Tub Safety Act
PERVH 1 4
I (We) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at
2 !2o 0'%N- d0E Pl-. t':=9 FL- 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.)
iThe pool will be isolated from access to the home by an enclosure that meets the pool barrier requirements of Florida Statute 515.29.
fhe pod 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 Ilot Tubs).
All doors Rod windows providing direct access from the home to the pool will be equipped with an exit alarm that has a minimum %mnd
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.
1 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.
1, the contractor, agree to i ct the owner of the proper use and maintenance of such safety device.
.Tl OWNER SIGNATURE
STATE OF FLORIDA, C TY Cl� STATE OF FLORIDA, COUN`F 6���
V PUBLIC \ NOTARY PUBLIC
The foregoing instrument was acknowledged before me The foregging instrument was acknowledged before me
this 7day of d'�17 Mb�f , 20 this J(JJJ,,,,tdday of A'r- , 200- L
by
Personally Known or Produced Identification -)- —
Type of Identification Produced:
i - iV L
rr Notary Public stele of Flondn
+� Janae Beauchamp
My Commission HH 024655
+� SLCP ReY�F 7 Expires 071282024
eJ)§f8
by
Personally Known or Produced Identifiation>--
Type of Identification produced: EL 0
art Notary Pubsc state of Fonda
i � Janae Beauchamp
My ComnRylon NH 024855
�an
ExprH 07282024