HomeMy WebLinkAboutAFFIDAVIT OF REQUIREMENTS COMPLIANCEr.
PLANNING[& DEVELOPMENT SERVICES DEPARTI%tTNT
Building and Code Regulations Division
2300 VIRGINIA AVE
FORT PIERCE, FL 34982 RECEIVED
(772) 462-1553 Fax (772) 462-1578
AFFIDAVIT OF REQUIREMENT COMPLIANCE AUG 2 7 2021
Residential Swimming Pools, Spa, and Hot Tub Safety Act St. Lucie County
Permitting
PERM #
I (We) acknowledge that a new swimmily
ool, spa, or hot tub will be constructed or installed at
0'-� f` � k �011,C C- and hereby affirm that one of the following methods
(Mease print sAreet 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 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 havin& 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 contrfictor, agree to i
the owner of the proper use and maintenance of su s fety device.
r
^`-
OWNER SIGNATKn
OF FLORIDA, COUNTY OF,�� t lJ rt C
The foregoing instrument was acknowledged before me
this day of ( , 20?,
by l0�
STATE OF FLORIDA, COUNTY OF I
N UBLIC
The foregoing in ent was acknowledged before we
this day of , 20-L 1.
by C. ®%\
Personally Known.
or Produced Identification Personally Known or Produced Identification
Type of Identification Produced: Type of Identification produced: b
°!y, Notary Public State of Florida
, Danyel Jones
< M 'Commission GG 352016 ' Notary Public State of Florida
8 y ?o
SLCPDS Revised 07/22/2014 N oo Expires 07/04/2023 . Danyel Jones
of n , o< MV Commission GG 352016
?pi p0� Expires 07/04/2023