HomeMy WebLinkAboutAFFIDAVIT OF REQUIREMENT COMPLIANCESCANNO
PLANNING & DEVELOPMENT SERVICES DEPARTMENT BY
Building and Code Regulations Division St Lucie Cou*
2300 VIRGINIA AVE
�twElUE� FORT PIERCE, FL34982
RECEIVED (772) 462-1553 Fax (772) 462-1578
FEB Q 12018 AFFIDAVIT OF REQUIREMENT COMPLIANCE
Residential Swimming Pools, Spa, and Hot Tub Safety Act
ST. Lucie County, Permitting
PERMIT #
I (We) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at
8050 Plantation Lakes Dr. Port Saint Lucie FL 34986 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.)
XThe 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 F 1246-91(Standard Performance Specifications for
Safety Covers for Swimming Pools, Spas, and Hot Tubs).
X 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 85decibels at 10 feet.
X 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,
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 has been finalized.
I, the contractor, a tj
,CONTRA IGN E
STATE OF F 9PJ
A, C UNTO
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VOTARY PUF)LIC
The foregoing instrument was
the owner of the proper use and maintenance of such safety device.
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OWNER SIGNATURE ?aLv" &C—AC.H
Palm Beach STATE OF FLORI A, COZUNTOF MARIO EDWARDS
ERICKA HERNANDEZ I Qe� ° NOTARY PUBLIC
s STATE OF FLORID
•'_ MY COMMISSION N G=W& 3TARY PUBLIC ? Comm# GG059842
EXPIRES September 2e. 2020
Expires 4/23/202'
now a ge ae me going instrument was acknowledged before me
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Ily Known � or Produced Identification
of Identification Produced:
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Personally Known or Produced Identification "t
Type of Identification produced: putlL12 u(:(;t,uyc—