HomeMy WebLinkAboutAffidavit Of Requirement Compliance,y
• PLAN � .
G & DEVELOPMENT: SERVICES DEPARTMENT
COUNTY
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 #
T (We. ackA ledg that a ew swimming pool;, spa; or hot fub: will be constructed-oc installed at
(Please print sti eet address) and hereby, of • firmthat one' of the following methods
will be used to meet the -re'
uirements 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 Sl tute 515.29..
The pool will be equipped with an approved safety pool cover:that complies with ASTM F1246-91(Standard Perform Ince SpeciScations for
Safety. Covers for Swimming Pools, Spas, and Hot Tubs). ..
All doors and.windows oyidin directaccess'from the home �' ' (n g . to the pool will be equipped with an exitalarm that has a•mimmum'sound
pressure rating,'of 85decibels it 10 feet.
All doors'providing direct access from the home to the pool -will be equipped•wiih 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 com leted for contract
purposes; will constitute a violation of Chapter.51'5, F.S., and will be considered as committing a misdemeanor of the -second degree; -
punishable by fines up_to $50&00 and/or up to, 60 days in jail as established in chapter 775,.F.S. " .
CountyI understand that the _. g inspections.p
abo e'protective devieees or the I ck of maintenance or the removal of such aftter th #rtment.assuifies no liabimliming pool has bee f nalizedty fdr.the final inspection of une of the
P ..
I,.the contractor; agree to instrtict.the owner of the proper use and maintenan a of such s ety. device. -
CONTRACTOR SIGNATURE
. OWNER SIGNATURE
ST' . OF FL ID COUNTY OF
' STAT OF. GRID CO TY OF U ,"Ctta. l
N UBL ARY PUB IC. I
"
The foregoing instrument was acknowledged before me The foregoing instrument was acknowledged before me
this. day of this . da .of
. Y . 20by, bA7,.'m-- 6 AW....
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Personally Known or Produced Identification Personally Known . or Produced) Identification_
Type of Identification Produced:
Type of Identification produced:
Crelp Emmette MacCOY Crslg.Emmette I cCay
NOTARY.PUBUC . NOTARY PUBLIC:
STATE OF FLORIDA STATE OF FLORIDA
SL jyAfF994A01 Comm# FF1i94. I
V,Expkbs 5/28/2020
lfft 5/2 I20 .