HomeMy WebLinkAboutAFFIDAVIT OF REQUIREMENT COMPLIANCEPLANNING &
Building and
Fuj
SCANNED
By (772) 462
Of Lucie Comy AFFIDAVIT OF R
Residential Swimming
PERMIT # l Tw- U 56 5
I (We) acknowledge that a new swimming pool, spa, or ]
5610 Smith Ln Fort Pierce, FL 34982
(Please print street address)
will
bee used to meet the requirements of Chapter 515,
V The pool will be isolated from access to the home by an ei
BENT SERVICES DEPARTMENT
We Regulations Division RECEIVED
VIIiGMA AVE
PIERCE, FL 34982 FEB: 21 201B
;53 Fax (772) 462-1578
Permitting Department
COMPLIANCE St. Lucie County
Spa, and Hot Tub Safety Act
tub will be constructed or installed at
and hereby affirm that one of the following methods
Statutes: (Please initial the method used for pool.)
>'rsure that meets the pool barrier requirements of Florida Statute 51529.
The pool will be equipped with an approved safety pool covei 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 ho ie 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 tine of final inspection, or when the pool is completed for contract
purposes, will constitute a violation of Chapter 515, F.S., and I 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 aaestablished in chapter 775, F.S.
I understand that the St. Lucie County Building Inspections
above protective devices, or the lack of maintenance, or the I
I, the contractor, agree to instruct the owner of the proper use 'I' d n
lo
I
CO CTOR SIGNATURE S I'E OYFLOREDA, COUNTY O�^ d� 1CA. ,
r
ARY i
The foregoing instrument was acknowledged before me
this _( day of G , 20J5�1
by
Personally Known or Produced Identification
neat assumes no liability for the final inspection of one of the
of such after the swimming pool has been finalized.
of such safety device.
COUNTY OF c
The foregoing instrument was acknowledged before me
this - day of 20_a
by
Personally Known t Tor Produced Identiflcation
Type of Identification Produced: Type of Identification produced:
SLCPDS Revised 07/22/2014
DANYELJONES
MY COMMISSION 0 FF 198907
EXPIRES: June 12, 2019
Bonded T•hru Notary,Public Underwriters
DANYELJONES"�J'/i'-:
MY COMMISSION N FF 198907
EXPIRES: And 12, 2019
RP„Ft BondedFhruNotary Public Underwd ,.