HomeMy WebLinkAboutAffidavit Of Requirements CompliancePLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772)462-1553 Fax (772) 462-1578
'1DAVrr OF REQI RIEMENT COMPLIANCE
Residential Swimming Pools, Spa, and .Hot Tub Safety Act
PERivirr 9
I (We nowledge that a new swimming pool, spa, or hot tub will be constructed or installed at
91" 6 0-' d.a'_I� and hereby affirm that one of the following methods
(Please print street address)
will be used to meet the requirements of Chapter 515,1Florida Statutes: (Please initialthe method used for pool.)
The pool will be isolated from access to the home by an enclosure that meets the pool barrier requirements ofnarida statute51529.
The pool will be equipped with an approved safety pool cover that complies with ASTM I:1246-9I (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 so,rnd
pressure rating of 85decibels at 10 feet.
Ali doors.providing direct access from the home to the pool will be equipped with self closing self latching devices 'kith 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 lines up to $500.00 andlo- 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, tine contractor, agree
instruct the owner of the proper use and maintenance of such safety de ce.
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4NOTAPUBLIC
SIGNATURE SD\V&` R SIGNATU
S'� �- IJG� Alt a. y �}
RIDA, COUNTY OF STATE/ O FFL'@tift)A, CO TY OF
NOTARY PUBLI
strument was acknowledged before me The foregoing instrument was acknowledged before me
this day of 20 this 7 day of ref— 20
by by C"&- 17hJeObQ*-
Personally Known or Produced Identification Personalty Known or Produced Identification
Type of Identification Produced:
JAMES ROUAN
°Y W COMMISSION A GG 008627
SLCPDS l2eviscr107/22 �,Q� EXPIRES: November4, 2020
yPO� ���r• Bonded Thru Notary Public Underwriters
Type of Identification produced: &Yr aRlUcg3 t4C, lyxc
PAUL L. Wfla-dk
Notary Public Stets of M.Y.
No. 01 R6017296
livalified in Herkimer Cty.
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Coission ExpireS 1:.2t07/20Rr