HomeMy WebLinkAboutAffidavit Of Requirement CompliancePLANNING & DEVELOPMENT SERVICES DEPARTMENT
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 #
Public Works
St. I (We) acknowledge that a new swimming pool, spa, or hot`tub will. be constructed or installed at Lucie Cou.,,, FL
and hereby affirm that one of the following methods
(Please print street 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.}�ome by an enclosure that meets the pool barrier requirements of Florida Statute 515.29.
x,. ._
The pool will be equipped with an approved safety poo[' cover that complies with ASTM F1 246-9 1 (Standard Performance Specifications for
Safety Covers for Swimming Pools, Spas, an'd'Hot•Tubs)'' '.` ';'i;;•,
All doors and windows providing direct access fronYsthe;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; floW&-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 wilfbe considered as committing a misdemeanor of the second degree,
punishable by fines up to $500.00 and/or up to 60'4ays=in jail as established in chapter 775, F.S.
I understand that the St. Lucie County Building Inspections Department ass es no liability for the final inspection of one of the
above protective devices, or the lack of maintenanc"e� or the, removal of st after theswimming pool has been finalized.
I, the contractor, agree to instruct the owner of ile proper use and in ntenan of suc safety device.
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CONTRACT SIGNATURE ce s i;,{, ; ,.c'.;j:q ,I4 �R S ATU E
TATE F FL RIDA, CO F FL RID O TY OF VYL CL�� '
NO ARY PUBLIC NOTARY P BLIC
The foregoing instrument was acknowledged before me--• • ''1 "A''
this2. b day of , 20 1�1
by
Personally Known or Produced Identification' 'z
Type of Id tiflo Pro uce
aq1' MY COMMISSION ON # F 999496
N `y EXPIRES: October5,2020
�;Fo ;q;•' Bonded Thru Notary Public Underwriters
SLCPDS Revised 07/22/2014
The foregoing instrument was acknowledged before me
this P6 day of 20j
Personally Known or Produced Identification
Type of Identification produced:
P RACHEL GROSS Aso
r°tS
MY COMMISSION # FF 999496
EXPIRES: October5,2020
��a';Fo�o•� Bonded Thru Notary Public Underwriters