HomeMy WebLinkAboutAffidavit Of Requirement CompliancePLANNIN
G -& DEVELOPMENT SERVICES DEPARTMENT
ftildijag and Code Re ulations Division
.9 . 2300 VIRGINIA AVE RECEIVED
FORT PIERCE, FL 34982
(772),462-1553 Fax (772) 462-1578 OCT 0: 2017
AFFIDAVIT OF PERMITTING
REQUIREMENT COMPLIANCE
St. Lucie county, FL
Residential Swimming Pools, Spa
, and Hot Tub Safety Act
PERMIT #
"owledge thqt a -new swimming pool,. spa; or hot -tub will be constructed or installed at
and. hereby affirm that one of the following methods
(Please PAW street address)
'Will be used to meet. the requirements of Chap4er 515, Florida Statutes: (Please initialthe
Odused for pool.)
The pool, will be isolated from access to the. ho
me an enclosure that meets the pool barrier requirements of Florida Statute 515,29.
The pool will he'equipped with in approved safety pool cover.thaf complies with ASTM F12 -91(S . tan d
.46 dar Performance Specifications for
Safety Covers for Swimming Pools, Spas, and Hot Tubs).
All doors and windows providing direct. access.ftom the.home to the pool will be equipped with an exit al that has 's
arm a minimum'sound
pressure rating.of 85decibels at 10 f6et.
All doors providing direct access from the home to the po6l will be equipped with self closing, self latching devices
with release mechanisms
placed no lower than 54 inches above the floor or deck.
1 understand that not having one of the above'installed at the time of final inspection, or when the pool is completed com leted for contract
Purposes, will constitute a violation of Chapte'r.515 F S., and will be considered as committing a inisidemeandr of the second degree,
punishable by fines up to $500.00 and/or up to 60 days in jail as . established in cha . pter 775,,F.S.
.,
I understand that the St.- Lucie County Building Inspections Dep
artment no liability for the final inspection of one of the
above'protectfim 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. deAce.
CONTRACTOR SIGNATURE
ST (TE F kORIDQ.1, C�OTW OF
NOTARY PUBLIC
The foregoing iiistruinenit wag acknowledged before me
this da of. 20 1-7
by CA_ti
Personally Known or Produced identification
Type of Identification Produced:
;'Q"ER SIGNATURE
STATE OF FLORIDA, COUNTY OF
NOTARY PUBLIC
The foregoing instrument was ge owledged before me
this day of
by
Personally Known or Produced identification
Type of Identification produced:
mace"
Craig Emmett"
Craig Emmette MacCoy 140TARY PUBLIC
SjLCPD.S Revised 07/22/2014 NOTARY PUBLIC STATE OF FLORIDA
STATE OF FLORIDA 0jxnm# FF994401
COMM# FF99WI
EXPIM &28/2020,
Exp1me 6/28=20