HomeMy WebLinkAboutAFFIDAVIT OF REQUIREMENT COMPLIANCEl
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIRGINIA AVE SCANNED
FORT PIERCE, FL 34982 �py
(772) 462-1553 Fax (772) 462-1578 Y�a
St Lucie County
AFFIDAVIT OF REQUIREMENT COMPLIANCE
Residential Swimming Pools, Spa, and Hot Tub Safety Act
PERMIT #
I (We) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at
5602 Eagle Drive 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 -9 1 (Standard Performance Specifications for
Safety Covers for Swimming Pools, Spas, and Hot 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 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,
punishable by tines 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, agree to instruct the owner of the proper use and maintenance Osuch safety device.
CO�RACTOR SIGNATURE
St. Lucie
STATE OF FLORIDA, COUNTY OF
NOTARY PUBLIC
The foregoing instrument was acknowledged before me
this 28 day of December 2017
byJames'A Walker
Personally Known X or Produced Identification
Type of Identification Produced:
[2(1
.r�"'Notary Public Stati of Florida
SLCPDS Revised .' C W SetOn
c d My Commission GG 167956
0114 Expires 12119f2021
(T�TEOFF, b/IDA,COUNTYOF St• Lucie
Vf n
�lVOTARY PUBLIC
The (foregoing instrument was acknowledged before me
this 28 dayof December 2017
by Joshua Stewart
Personally Known X or Produced Identification
Type of Identification produced:
::►"'-"�e4�; SUSAN L WALKER
o:
• i_ MY COMMISSION #FF1840Ei3
EXP,IRES.Decerriber 16, 2018
(40D 398.0153 Floridallota Semice.com