HomeMy WebLinkAboutBELAND AFF OF COMPLIANCE-a - J-11 PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIRGINIA AVE
FORT PIERCE. Fl, 34982
17721 462-1553 Fak (77_) 462-I578
AFFIDAVIT OF REQUIREMENT COMPLIANCE
Residential Swimming Pools, Spa, and Hot Tub Safety Act
PERMIT H
I (We) acknowledge that a ne" swimmin pool, spa, or hot tub rail) be constructed or installed at
.4W . and hereby affirm that one of the following methods
IPlease print street address)
will be sed to meet the requirements of Chapter 515, Florida Statutes: (Please initial the method used for pool.)
The pool %0I he, isolated hum access to the home b+ an cnclosure that meet- the pool harrier regnoemenu of Florida Statute 515.29
The pool trill he equipped ailh an approved sateh pool corer that complies with ASfM F 1246-0IlStandard Pertixniance Speciticaubns for
Sal'eh C'o%er., for S%%inuntne Pools. Spas. and riot I uhs)
All doors and window; proN iding direct access horn the home to the pool «ill be aluipped with an exit alarm that has a minimum solind
pressare rating of 85decihels at 10 leer
All doors pro%rding direct access Kant the home to the pool will he equipped uitli idi'Oosing. ;e11 latchine deices \+ith release meuhanisrrts
placed no )o+ver 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, FS., 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, FS.
I understand thal the St. Lucie County Building Inspections Mpartment 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 instruct the owner of the proper use and maintenance of such safety device.
1
CON TRACTOR SI NATURE O►'+'`: -R SIGNATURE
STATE: OF FLORIDA. COUNTY OF ,4STATE OF FLORIDA. COUNTY OF
NOT.NOT.V& PUBLIC NOTARY PUBLIC
The foregoing instrument was acknowledged before me The foregoing instrument was acknowledged before title
this --J—da} of �IDI/ , ZO�., this day of =7;% } "04/
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Personally Known - or Produced Identification Personally Known or Produced identification
Type of Identification Produced:
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i4r:Public Stnt' Ji i•1Ut',r�a
i
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SLCPDS Revised 0712212014''"''^�
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Type of identification produced:
npr"+ �q� iVr Puulic "M'a of Fiord
q ` I nil 0. Flttxley