HomeMy WebLinkAboutAFFIDAVIT OF REQUIREMENT COMPLIANCEI (We) acknowl dge that a new swimming pool, spa, or ho
M(6yN I1
(Please print street address)
t tub will be constructed or installed at
and hereby affirm that one of the following methods
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 such afety device.
CONTRACTOR NATURE OWNS SIGNATURE
STATE OF FLO I A. COUNTY OF?t2�rvljp:�eac"
NOTARY11
The foregoing instrument was acknowledged before me
this 0_day of LW20�
by AAJ�LM j±j IA
Personally Known or Produced Identification
Type of Identification Produced:
KRYSTAL COURCHENE
ctY WJ� .
''`•,'� = my COMMISSION # GG 227945
'�- EXPIRES: October 12, 2022
Bonded Thru Notary Public Undec�rriters
SLCPDS Revised 07/22'
STATE OF FLOR D COUNTY OF CLC1
NO IC
The foregoing instrument was acknowledged before me
this (C)-day of Uwa 20
P ep� obo
by CA j
Personally Known or Produced Identification
Type of Identification produced:
Via-•
KRYSTAL COURCHEHE
•'c = MYCOMMISSION # GG 227945
October 12, 2022
EXPIRES'.
Bonded Thru Notary Public Under�triters
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