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Home My WebLink AboutFilled Land AffidavitZF, 41 'T 4� rl 5 Ir .. 't �.".i +;E_. '�';; w.!'�•'' �... §� ,. .._. _ ..._ ,.-ai'•"Ee'H :j.r ,_i �t.. .'4;iew :�.''. i r •. F,: :I, 'S t: ii. -if ,r„ :i , -..,,./t !�+:77... '�!. .. is•,1. .,'!� _ �:i r.. , 3; i Cjf, ;,vf'i �' „ •,i";,'ti. _+' ,. .. py .. ., '?c':.'„'' ' �f }f .ir, 11.0 !=,.,- .. :,!,�. Ili . , .�� .. ,r .i:'i.': ,."';J ,. no i7r, i I't ±" •!? '{• : `!';'Y' ,..:•f: .• f': ,'!"' rill, ik )wt; r ,Aat�.,r'S' •SSt ' .., �1. '_' '��...')�! i{C)' :i. ± ., ;1. a ''' , ,',). , l,,_ 'ii .,°� _"C:'.:.^�,_:i .:�i:, •'rj;;)' .f'. •t`},'JI'. � .. � � ,;_;-r,47: t.' � ) ii I' `)''(i (d - ,i �•' .,!�• � �. •;{ �. , �.i 11"t" � , Ir� n _ . 'i drti J"fi '1�i ,a . lF .. ., ., ^i � r{_! �. - )� -„ ,,(. 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"s,y,;}" 1 ':) ..pi �• ff ' - - ` _ ' ...._ .. _ t • ! 4 ., . is i _ ..-'b~t>.�,,,.�. ,.,ar-�;ti ry...R•. � •�e:tw.fiv...u.b"°vF.e.,l'It+.`2PY"•sa4o :�••v::h:v..r^`.os'-.:\r•s PLANNING & DEVELOPMENT SERVICES DUPARTMENT Building and Code Regulations Division 2300 VIRGINIA AVE FORT PIERCE, FL 34982 (772) 462-1553 Fax (772) 462-1578 AFFIDAVIT OF REQUIREMENT COMPLIANCE Residential Swimming Pools, Spa, and Hot Tub Safety Act PERMIT # I (We) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at 3142 Tidewater Circle Fort Pierce FL 34945 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.) �Z__The 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 F1246-91(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 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. I, the contractor, agree to instruct the owner of the proper use and m ' n of such sECOUNTY e. Ac�'-NAZ�9' L(-\�& tek, CONTRACTOR SIGNATURE OWNER SIGNATURE STATE OF FLO OUNTY OF Saint Lucie . STA OF RIDA, OF Saint Lucie �4z A �J' tee OT LI TARY PU4Qf The foregoing instrument was acknowledged before me this ' day of May 20 2 11 by Hannah Becker Personally Known ' ` or Produced Identification Type of Identification Produced: 1'xr puB-; ARWEN D ADAMS `?° • �t•�P-, Notary Public - State of Florida y" o Commission : GG 272920 Expires Oct 31, 2022 SLCPD Itiwflr�'nded Boonded through Nationa: Notary Assn, The foregoing instrument was acknowledged before me this 21 day of May 92021 by Jarret Romanello Personally Known " ' or Produced Identification Type of Identification produced: ............ ARWEN D ADAMS Notary Public State of Florida 'o Commission M GG 272920 •••..•oFf`;, My Comm. Expires Oct 31, 2022 Bonded through National Notary Assn. 1 PLANN11N az DEVELOPMENT SERVICES DL �' RTMENT Building and Code Regulations Division 2300 VIRGINIA AVE FORT PIERCE, FL 34982 (772) 462-1553 Fax (772) 462-1578 AFFIDAVIT OF REQUIREMENT COMPLIANCE Residential Swimming Pools, Spa, and Hot Tub Safety Act PERMIT # I (We) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at 3142 Tidewater Circle Fort Pierce FL 34945 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.) The 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 F1246-91(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 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. I, the contractor, agree to instruct the owner of the proper use and maintenance of such safety device. al iti. 121 pry STATE OF FL OF Saint Lucie The foregoing instrument was acknowledged before me this 21 day of May .2021 by Hannah Becker Personally Known X or Produced Identification Type of Identification Produced: ARWEN D ADAMS c�\G _ • ,�•,\�=: Notary Public -State of Florida SLCPDS Revised 07/22/2 �?. o- My Commission # GG Oct 319 0r 2022 Bonded through National Notary Assn. OWNER SIGNATURE S ATE OF =COUNTYOF Saint Lucie NOTARf PUBLIC The foregoing instrument was acknowledged before me this 21 day of May . 2021 by Jarret Romanello Personally Known " or Produced Identification Type of Identification produced: r °Oa'••. ARWEN D ADAMS Notary Public -State of Florida `•� ' � -�`' Commission a GG 272920 •��o�_ °�My Comm. Expires Oct 31, 2022 Bonded through National Notary Assn. i'� --- E.''ll W14 i.. P. !A Muf JG !PU'l lu'o:om I i AV" b:%j "wn- R Q 1 :!rt Q IT, MAP