HomeMy WebLinkAboutPOWERS AFF OF REQUIREMENT COMPLIANCE PLANNING & DEVELOPMENT SERVICES DEPARTMEW
Building and Code Regulations Division
L100 VIRGINIA AVE
FORT MERC E,Fl.349XZ
(772)462-1553 Fax(772)462-1578
AFFIDAVIT OF REQU1RENIENT COMPLIANCE
Residential Swimming Pools,Spa,and Hot Tub Safety Act
I t We) acknowledge that a new swimming pool,spa,or hot tub will be constructed or installed at
!!?// _�.OL'&SD/1 IWIV41
"_ and hereby affirm that one of the following methods
tPlease print street:address)
wi e u•-d to meet the requirements of Chapter 515,Florida Statutes. (Please initial the method used for pool.)
Hie pool tt iI I he nul.ned Irortt acce;>ttt the hunts h� art cnclo;ure Ihat anect;dte pawl Mrrner rcgrairentent.of 1 lorada Stawle 51 j 29
_. I'Ile pool+trll ha equipped mili all apprtned p,}oi.:oterthat complie,tuih ASfAl F12 6-411tivandard Perl'ormatice Sptrilicatton,ibr
Saftar CoNcr;tier Swiininrnc Ptx+l;,Spa;,and I lttt I b;I
111 door;and w induct±pror rdanc direcl acce;;li•ctm the hour;tali the pool Hill he egmpped milli an exit alarm that ha;a nurninum arund
pre;;urc ratios!ul 85decrbols at 10 leer
All door,pros iding dir:cl acce.;lrurn the home lu the pool hill he equippcd milt.eli'clncmg.self lalchrn dc%icc;unh relea;.c one chani
placed nn Iimcr than 54 inches;thole the lloor or deck
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 wiolalion 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{:ounlr'Building lnspecliuns Department assumes nu Iiabilit► for the Final inspection of one or the
above protective devices,or the lack of maintenance,or The removal of such after the swimming pix)l has been Finalized.
1,the contractor,agree to instruct the owner of the proper use and maintenance of such safety device.
t
Co\rRAC'rOR S :NA'ITL'RE NER ti1-C.A.
• CRE
STATE OFFLORIDA.("1)UN YOF" STATE OF FLORIDA.000NTYOF
NU'r Y rum.1(' 40TARY P1 RLIC
The Foregoing instrument►vas acknowledged before me The foregoing instrument was acknowledged before me
this // tla�ttf 30- V this 1�da}'ul' 'il '
Personally Known or Produced Identification Personally Known or Produced Identification LI
Type of Identification Produced: Type of Identification produced: /V� ol
a
e� r''PV"FA Notary Pubic Sta:a of Florida
Lori A Moxfey �>
My Gotnrn:ssion GG 280148 � x
2 o Notary Pubic Stei;s of Florida
a Ee:+tom Cx""pines 1112A<<t2z Lori A Maxey
Sl.C'P[)S Rvvi MY Gommission GG 260148
"'F@' Cxpires 11128/2022