HomeMy WebLinkAboutAFFIDAVIT OF REQUIREMENTVCOMPLIANCEPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division.
2300 VIRGINIA AVE
SCANNED FORT PIERCE, FL 34982
.(772) 462-1553 Fax (772) 462-1578
Mude coa* AFFIDAVIT OF REQUIREMENT. COMPLIANCE .
Residential Swimming Pools, Spa, and Hot Tub Safety Act
PERMIT #
I (We) acknowledge that anew swimming pool, spa, or hot .tub will be constructed or installed at.
137 ne NARANJA AVE PORT SAINT LUCIE 34983 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 F1-246-91(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 of85decibels 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 $500.00, and/or up to 60 days in jail as established in chapter 715, F.S.
I understand that the St. Lucie County Building Inspections Department assumes no liability for the final inspection -of one of the
above protective devices, or the lack of maintenance, or the removal of such after the swimming pool has been finalized.
I, the contractor, agree to instruct the owner -of the er use and maintena of such safety device.
POTARYPtBLIC
GNATURE O R SIGNATU
D O NTY F ST OFF RI A TY OF
NOTARY PUBLIC
The foregoing instrument was acknowle ged be re me The foregoing instrument was acknowled d b ore me
this day of joll. 110 this day of 0
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Personally Known V or Produced Identification Personally Known or Produced ldentifi ton
Type of Identification_ Produced: Type of Identification produced:
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ro: �� FARA D HERNANDEZ ;=�`jtua�o FARA D-HER:NANDEZ.
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"-'� Ada':, EXPIRES October- 28, 2018 �c's
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EXPIRES October 28, 20
EX 18
SLCPDS Revised 07/2 3gg 0i53 'FloridallotaryService.com (407) 398-0153 Floridallotary$ervice.com