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HomeMy WebLinkAboutcaglioni affidavit of requirement compliancePLANNING & DEVELOPMENT SERVICES DEPARTMENT Building and Code Regulations Division 2300 VIRGINIA AVE FORT PIERCE, FL 34982 M2) 462-1553 Fax (772) 462-1598 AFFIDAVIT OF REQUIREMENT COMPLIANCE Residential Swimming Pools, Spa, and Hat Tub Safety Act PERMIT 4 I (We) acknowledge that a new swimming pool�pa, or hot tub will be constructed or installed at $(pia M 1 , f 1A900c3 D I viz , FQ( - Fite4Cd , and hereby affirm that one of the following methods (Please print street address) 34CI I4 +5 will be used to meet the requirements of Chapter 515, Florida Statutes: (Please initial the method used for pool.) ffCThe 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 F1246-9l(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 he 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. N'1RACTOR SIGNATURE STATE OF FLORIDA, CO OFC�+ t r tG� '(� r NOTARY PUBLIC The foregoing instrument was acknowledged before me -�f ' this / day of 20 — by i 61 , \ t 1S-CCC�V-'i4� Personally Known or Produced Identification OWNER SIGNATURE . STATEOJ(FL4RW} O lY,OF.�- � �— ,,/- NOTARYPUBLIC The foregoing instrument was acknowledged before me thiQ - day ofl , 20-2!:./ Personally Known Produced Identification Type of Identification produced: T pe of Identification produced: Notary Public Stets of Fbnda WV Trod Velez NetalyPublic titat Offbrltfa My Commission GG 937771 Milli MWWrd �a n� Expkres 1210612023 ' } My C&M 00 2Wt4 �4!►� Expires 0!►iQ/102Z SLCPDS Revised 07/22/2014