HomeMy WebLinkAboutAFFIDAVIT OF REQUIREMENT COMPLIANCEPLANNING & DEVELOPMENT SERVICES DEPARTMENT
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
7273 S. INDIAN RIVER DRIVE , and hereby affirm that one of the following methods
(Please print street address)
M"ed to meet the requirements of Chapter 515, Florida Statutej(P�as ,Inita e-methodtused'for o
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. F1246-9 I (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*w It 1' E i — i ; �} �, R R &L
All doors providing direct access from the home to the pool will beiequipped 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.
�1 ,r
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 fmalized.
I, the contractor, agree to instruct the owner of the proper use and
e r
ONTRACTO IG
STATE OF FLORIDA, COUNTY op,
l / E
eo
NOTARY PUBLI \
The foregoing instrument was acknowledged before me
this 30 day of 144 4- 9 (f , 20_L,
by P9L-t M'4�z
Personally Known ?�or Produced Identification
Type of Identification Produced:
!r,'•.
WILLIAM H DONOVAN JR
�� MY COMMISSION # GG093576
Si C I) , " ea o7/2MMIRES April 12, 2021
.40 Notary Public State of Florida
William HenryDonovan Jr
+� My Commission HH 088457
Expires04/12/2025
The foregoing instrument was acknowledged before me
this I� day of U f rC h . 20�2L
byjo1" 11 I
Personal K=_own or Produced Identification
Type of Identification produced:
�.� Notary Public State of Florida
Kaylin J. May
r My Commission GG 906961
a a Expires 10J03/2023