HomeMy WebLinkAboutAPPROVED, POWERS AFF OF REQUIREMENT COMPLIANCEPLANNING & DEVELOPMENT SERVICES DEPARTMEW
Building and Code Regulations Division
L100 VIRGINIA AVE
FORT 1'IERC E, Fl. 349XZ
(772) 462-1553 Fax (772) 462-1578
AFFIDAVIT OF REQUIRENIENT COMPLIANCE
Residential Swimming Pools, Spa, and Hot Tub Safety Act
I'ERNIrr r;
I t We) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at
_� .Oe&sow 'WIVE and hereby affirm that one of the following methods
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wi e u - A to meet the requirements of Chapter 515, Florida Statutes. ( Please initial the method used for pool.)
Hie pool tt II I he nulated Irurtt acce;> ttt thr hunte h� art cnrlo;ure Ihat meet; llie tool Mrrncr rcgtairentc nt. of 1 lorada SLnn[C 51j 29
I'hc pcol Mil ba equipped MIII an apprtned atli l% p,}ol.:o%er that contplie, tu[h AS IAI F12 6-911Standard Perlitrnrao" Spwilicatton, Ibr
tiaI-cIN CoNer; tier Swimin ung Ptu+h, Spa;, and I)tat Ih;I
%it door; and w induct± pror rdanc direcl acce;; Ircxtt [he home tai the pilot Hill be equippjd udh an exit alamt [hat ha; a nurninunr anntd
prcn;trre rains! ul SSdecrbok at 10 leer
11I door, pros iding d[r:cl aeec.; Irum the home to the punt %%ill he equIppcd %%nIt .eli'clncmg. self lalchnt de%icc; unh reIca <z in chani;nt;
placed nil Itmer than 54 inches ;thole the Iloor or decl..
I understand that not having one or the above installed at the time of final inspection, or when the pool is completed ror contract
purposes, will constitute a violation or Chapter al;. F 5., and will be considered as committing a misdemeanor of the second degree,
punishable by tints up to $5500.110 and/or up to 60 days in ,jail as estahlished in chapter 775. F ti.
I understand that the 5t. Lucie {:ountr" Building Inspections Department assumes nu Iiabilits for the Final inspeclion of one or 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 safely deuce.
1
CO\ rRAC'rOR S :NATURE NER ti1-C.A.
CIiE
STATE OF FLORIDA. COUNTY OF STATE OF FLORIDA. COUNTv OF
NU'r Y rum.1(' VOTARY P1 RLIC
The foregoing instrument ►vas acknowledged before me The foregoing instrument was acknowledguil before me
this // ttu� ttt' .3i)�� this 1�day or �l�— 'il '
Personally Known L___� or Produced Identification Personally Known or Produced Identification LI
Type of Identification Produced:
e� r''PV "fA Notary Pubic 5t0:a of Florida
Lori A Moxfey
e My Gotnrn:ssion GG 280148
G Fo: tv? Expires 1112812022
Sl.C'P[)S Rcvised 07r3y tYl+a!°aP'J`14n'tlb+a�/�f sil,�lr'V'�M
Type of Identification produced: / ,/
dzpvk^.�
a x Notary Pub!ic tei;s of Florida
Lori A Mox!ay
,uy Gonmission GG 260148
"'F@' Cxpires 11128/2022