HomeMy WebLinkAboutAFFIDAVIT OF REQUIREMENT COMPLIANCEPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
gnOo E)13nl IS (772) 462-1553 Fax (772) 462-1578 RECEIVED
AS
�� AFFIDAVIT OF REQUMMIENT COMPLIAN NVOS JqN 1120418
Residential Swimming Pools, Spa, and Hot Tub Safe Act
PERMrr #
I(�wwe) acknowledge thata new swimming ool, spa, or ho
G1 v?® '54 41Z too QC-'4 C�-7-.
(Please print street address)
ST, bk4olt3 Cpwtlty, permitting
t tub will be constructed or installed at
and hereby affirm that one of the following methods
will 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
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 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
liability for the final inspection of one of the
above protective devices, or the lack of maintenance, or the removal orsuch after tqe swimming pool has been finalized.
I, the contractor, agree to instruct the owner of the proper use and
CON CTOR SIGNATUR
STATE OF FLORID COU Y OF
NOTARY PUBLIC
The foregoing instrume``n�- was acknowledged before me
this day of ✓e, In , 201-5�
by Uct
Personally I nown or Produc Identification
Type of Identifi '
WILLIAM H DONOVAN JR
MY COMMISSION 0 0GO93576
' 3.°!..�•' EXPIRES Ap,* 1Z 2021
SLCPDS Revised 07/22/2014
device.
kW59R SIGNATURE ` �/� p
V
— COUNTY OF�• Lt & 1 C,LI �`�����
The foregoing instrument
�was
acknowledged before me
this day of !f (iil ! 20 j&
by W -CA �S
Personally Known N or Produced Identification
Type of Identification produced:
�ow °co Notary Public State of Florida
Kaylin J May
• Y My Commission FF 914312
'�ou� Expires 10/0312019