HomeMy WebLinkAboutAFFIDAVIT OF REQUIREMENT COMPLIANCE'PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIRGINIA AVE RECEIVED
L• V \ L L LLLL\l.L,, L' L J4704
(772) 462-1553 Fax (772) 462-1578
AFFIDAVIT OF REQUIREMENT COMPLIANCE AUG 2 8 2017pERMITTIr:G
Residential Swimming Pools, Spa, and Hot Tub Safety Act St. Lucie County, FL
PERMIT i!
I (We) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at
11700 APPALOOSA CT, PORT ST LUCIE 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 home by an enclosure that meets the pool barrier requirements of Florida Statute 515.29.
The pool will be equipped with an approved safety pool cover that complies with ASTM F1246-91(Standard Performance Specifications for
J Safety Covers for Swimming Pools, Spas, and Hot Tubs).
All doors and windows providing direct access from the hone 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 floor or 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 will be considered as committing a misdemeanor of the second degree,
te ecnn nn ,,.,;l.,, up to 6e days ;,. ; .;t o�t,r,t;�;.oa ;,.. ►. ,,.to, ��e F e
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 has been finalized.
I, the contractor, agree to instruct the owner of the proper use and maintenance of such safety device.
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CONTRACTOR SIGNATURE J
S OF FLORIDA, CO
N ARY PUBLIC
The foregoing instrument was acknowledged before me
this - �1 j� d�y�/�a/y�of 20
VV
by AL ( ►1'l
Personally Known o r Produced Identification
Type of Identifi4-C).
cPasand
m a I,ngrfYl�n
STATE 00 FLORIDA
Cstrur # �+Co32 O
Expires 31012020
SLCPDS Revised 07/22/2014
OWNS GNATURE n p
STV OF FLORIDA, COUN F
NOTARY PUB IC
The foregoing instrument was acknowledged before me
this ) 7 day of L ii 20) %
by
Personally Known or Produced Identification
t JsisWra A lagtaharn
Type of Identification pr tA13YP1I3L{v':
�7 STATE pF FLORIpA
CommkG-139
Expires 342020