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HomeMy WebLinkAboutsafety affidavit ._>,- PLANNING & 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 3054 NW Radcliffe WAY Palm City,FL 34990 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.) X 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 F 1246-9 1(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. % X 0 CONTRACY6R SIG OWNER SIGNATURE T TE OF FLORIDA,COUNTY OF S"C C.IAGI f✓ STAT FLORIDA,COUNTY OF OF UA-61 C ATARY PUBLIC ARV PUBLIC The foregoing instrument was acknowledged before me The foregoing instrument was acknowledged before me this 13T"" day of �-, %B ,20 2<i this_ day of CC--f by k 1k1A-4�c fn EIC&14� by RLl - t--kA-NGID Personally Known or Produced Identification Personally Known or Produced Identification Type of Identification Produced: Type of identification produced: �[ AUENE S.DONOVAN f c*: MY COMMISSION#FAH 034073 sv? ALIENE S.DONOVAN ., o` EXPIRES:October t,2024 R "*: MY CO34073 MMISSION#I(H 0 SLC bvii ��6�r7�0flttlr Notary Public Underwriters =m' EXPIRES:October 1,2024 Bonded Thru Notary Public Und rwritars