HomeMy WebLinkAboutAPPROVED, JMC - ADDEO AFF OF REQUIREMENTSPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
t7724462-1553 Fax(772)462-1578
AFFIDAVIT OF REQUIREMENT COMPLIANCE
Residential Swimming Pools, Spa, and Hot Tub Safety Act
PERMIT #
I (We) acknowledge t t a new swimming pool, spa, or hot tub will be constructed or installed at
/Q/ ek , 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 5 15-29-
fhe pool will be equipped with an approved sat�ty pool cover that complies with AS"['M F[246 9I(Slandard Performance Specifications for
Safety Covers for Swimming Pools. Spas. and Hot I ubs).
A 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$5decib;-k at 10 feet.
All doors providing direct access from the home to the pool will be oquipped with selfclosing, 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, FS., 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, FS.
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 n}ain7nce of such safety device.
411
CONTRA TOR GNATURE OW ER SIG ATURE
STATE OF FLORIDA, COUNTY OF / //a�� 7 STATE OF FLORIDA, COUNTY OF
NOTAIYf PUBLIC N ARY PUBLIC
The foregoing instrument was acknowledged before me The foregoing instrument was acknowledged before me
this day of _, 20,/ this _�� of 14 QV 20W
by /Q V -t I-% by lam. aai-s 4 (2CC eo
Personally Known V or Produced Identification
Type of Identification Produced:
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Personally Known or Produced Identification
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'scar ry PLblic Slays of Florida
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