HomeMy WebLinkAboutAFFIDAVIT OF REQUIREMENT COMPLIANCEPLANNING &.1)EVELOPMENT SERVICASPEPAI
RTMENT
Building and Code Regulations Division
RECEIVED
2300 VIRGIMA AVE
FORT P1j;RCE, K 44982
SEP 0 8 2021
(772) 462-1553 Fox (772) 462-1.518
AFFIDAVIT OF REQUIREMENT COMPLIANCE' Permitting
Lucia county
Residential Sw,imnilin9 . Pools, Spa, and Hotiub Safety Act Permitting
PERMIT -#
I (We).dcknoWlefte that a new swimming pool, spa,,or hottub will be constructedor installed at
7413 LAURELS PLACE, PORT. SAINTLUCIE, FL 34986
and. hereby affirin that one of the followingmethods
(Plesid printsiriet address) '
will be used to meet the. reluirempnts of Chapter 515,.Rorida i StatuteS. se (Plea initial the method used for pool.)
The pool will belisolated.fromaccess ,to the home by an enclosure that meets the pool.barrierrequirdments ofFlorida Statute515.29.
The pool will be equipped with an approved safety pool cover that complies with ASTM F 1246-91 (Standard Performance Specifications for
Safety Covers for Swimming -Pools, Spas, and Hot Tubs),
All doors and windows p.roviding direct access,from the,home to the pool will be equipped with an exit alarm that-bas a minimum sound
pressure rating of 85decibels at 10 feet. L) 0
All doors providing direct access,ficim the hom&to thepool-will be equipped with self closing, self latching deNices with relcusemcchanisms
placed no lowerthan 54 inches above the.floor or deck.
I understand that not.having, oneofthe abgve.instilled at the time of Mal, inspectio , or when the pool Is comp leted f6r contract -
purposes, will constitute a-violatloill., of Chapter and will be considered as committing.2i misdemeano'- �gree,
r of the second degree,
punishable by fines'upto. $500.00-and/ok upjo 60-'*'ys' in jail. as e'stablished in chapter 775, F.S.
I understand that the St. Lucie County Building Inspections Department assumes no . liability for the -final inspectlon of one of the
above protective devices, or the lack of mahitenanke,:or'the removal of.suchafterihe swim In_g:poolhasbeenfinalized.
1, the coiqgctor, agree. to-instract the owner of the proper use and in mijiffin-Ance of such sfiek device.
CONTRAQTOR-8149MTURE R.SIGNATIJR&�'
STATECO OF &OOL STA OF _C
"-OF FWRI,DA, COUNTY
A4�u ry,
NOTARY P)** NOTARY PUBLIC
The -foregoing ment *;i.s acknowledged before me
this =day Of NUA 015-f 20
by
Personally Known or Produced Identification
Type of Identification Produced: A
SLCPDS Revised 074212614
The foregoing instrument was acknowledged before me
h.
this
jZ,, dayf 20.-11,
by,
Periomllly.Knpwr-_ or Produced Identification
Ty0d of Identification.produced. CIO 0129
Pij CAROL SHAMIS
Notary Public M State of Florida
4
Commission # GG 255268
— '.:
x My Comm. Expires Sep 24, 2022
Bonded through National Notary Assn.