HomeMy WebLinkAboutAFFIDAVIT OF REQUIREMENT COMPLIANCEI �
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIItGIPRAAVE RECEIVED
FORT PIERCE, M 349n
(772) 462-103 Fax (772) 462-1579 AUG 2 9 2017
AFFIDAVIT OF REQUIREMENT COMPLIANCE PERMITTING
Residential Swimming Pools, Spa, and Hot Tub Safety Act St. Lucie County, FL
PERMIT #
I e) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at
/l14 /1 eW-J,g &Ze,44a v and hereby affirm that one of the following methods
(Please prhrt 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 home by an enclosure that meets the pool barrier requirement& of Florida Statute 515.29.
The pool will be equipped with an approved safety pool cover that complies with ASTMF1246-+91(Standard Performance Specifioativm for
Safety Covers for Swimming Pools, Spas, andHot 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 sound
pressure rating of 85deoibels at 10 feet
All doors providing direct access from the home to the pool will be equipped with self olosing, self latching devices with release meohanisms
placed no lower than 54 inches above the floor or deoL
I understand that not having one of the above installed at the time of fimal inspection, or when the pool is completed for contract
purposes, will constitute a violation of Chapter SM F. S, and will be considered as committing a misdemeanor of the second degree,
punishable by fines up to $500.00 and/or 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 lips been finalized
I, the contractor, agree to instruct the owner of the proper use and ;maintenance of such safe device.
CONTRACTOR SIG R�SIGNATURE
TE OF FLORIDA, TUNTY OF
N LIC
The foregoing instrument was admowledged before me
this day of A20-0-1
by
Personally Known or Produced Identification
Type of Identification Produced:
JAYME CH"EZ
MY COMMISSION # FF991926
1Ay •o:
SLCPDS R ,2/2014EXP)RES May 12, 2020
(407) 398.0153 FlorldallotaryServiee:com
STATE OF FLORIDA, COUNTY OF
e�4(✓ Co
NOTARY PUBLIC .
The foregoing instrument was aclmowledged before me
this day of �%Zc C� .20 ` 7
by
Personally Known �_or Produced Identification
Type of Identification produced:
=�Yv' JO ANNE WILLS
Commission # FF 188304
-' ` Expires February 20, 201Q9
° `` Bonded Tfm Troy Fein Insurance 800,185.7019
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