HomeMy WebLinkAboutSelph affidavit of requirement compliance. III PLANNING & DEVELOPMENT SERVICES DEPARTMENT
* �N" Building and Code Regulations Division
MV 2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-155.i Fax (772) 462-1578
AFFIDAVIT OF REQUIREMENT COMPLIANCE
Residential Swimming Pools, Spa, and Hot Tub Safety Act
PER1I IT #
I^ �(We) acknowledge that a new swimmi g pool, spa, or hot tub will be constructed or installed at
-C by-1n e-9—b ell �bfk- I��zXa R=&V9Y3' 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 ASTNI F1246-9D Standard Performance Specifications for
Safety Covers for Sximming Pools. Spas. and Hot Tubs).
All doors and windows providing direct access from the home to the pool will be equipped faith an exit alarin that has a minimum sound
pressure rating of Wccibels at 10 feet.
All doors providing direct access from the home to the pool will be equipped with sel f closing, self latching devices faith release mechanisms
placed no lower than 34 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, b'.S., and will be considered as committing a misdemeanor of the second degree,
punishable by fines up to S500.00 and/or up to 60 days in jail as established in chapter 77i, 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.
1, the contractor, agree to instruct the owner of the proper use and maintenance such safety device.
CONTPLACTOR SIGNATURE i:-NER SIGNATURE
ST: �FfLORID, C/ 31N1T " 0, ei � � � "�" ' S�-ATE O FLOEVA. C VTY OF
NOTARY PUBLIC 1\ P C,
The foregoing instrument was acknowledged before me
this / 5' dap of /ydV6i 1, CIL. ZO�,
Personally Known /�O or Produced identification
Type of identification Produced:
Notary Public Stow of Florida
My C vela:
+��4)
My ommtssron GG 93777t
� 6Expires 17/0&2023
SLCPI)S Rev' AA ON
The foregoing instrument was acknowledged before me
this _ (o day of 2n 1
by
Personally Known ZI or Produced Identification
Type of identification produced:
JEWCAMERN/WDEZ
:. ._ Ctxllmtssitxi # GG 263�2
��1Z ��s 6ViIa5eploift27,2022
^° 8ottdeQTlYuTwF*6atxance8 ,1&7@t9