HomeMy WebLinkAboutAFFIDAVIT OF REQUIREMNT COMPLIANCEPLANNING & DEVELOPMENT SERVICES' DEPARTMENT
Building and Code Regulations Division
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 Fax (772) 462-1578
N-ANNED AFFIDAVIT OF REQUIREMENT COMPLIANCE
Residential Swimming Pools, Spa, and Hot Tub Safety Act
PERMIT #
RECEIVED
MAR 16 2018
Permitting Department
St. Lucie County
I (We) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at
q 3D3 So =AAiQt1 R:M(L b `iye 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 F1246-91(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 S500.00 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 contractorjigrce to instrugthe owner of the proper use and maintenance of such safety device.
CONTRACTOR SIGNATU//% OWNER SIGNATURE
HATE OF FLORIDA, COUNTY OF S^ •� STATE OF FLORIDA, COUNTY OF
ARY PUBLIC
The foregoing instrument was acknowledged before me this 1 � _day of� h- , 20 (0J
,
Personally Known or Produced Identification
NOTARY PUBLIC
The foregoing instrument was acknowledged before me
this day of .20
by
Personally Known or Produced Identification
Type of Identification Produced.-Tw'n°i S *bL* Type of Identification produced:
�,•�,�Y PV 4� LAS;9MHWiNGRAM
SLCPDS Revised 07/22/2014 ,=o�'�`Bi' f'_'"i; ;! iic Sf3te 01 Florid:
11 7.
n C^py
FILE
ASSIt.
APSP/ANSI-7
Suction Outlet Safety Compliance Data Sheet
(One sheet for each drain or set of drains in the system)
Job Name:W�lyµbw►
Address:
Q3o 3 5 ..
m1G2. FL
THIS DATA IS FOR THE: POOL _ AUXILIARY (Spa, Feature(s), etc.)
SUCTION OUTLET(S) ,
Are there drains: yes no (if no, go to truck & return pipe sizi� )
Single unblockable —.Two or. more *)t—
Drain make & model: l W S[ m5 l -1/
Listed cover flow rate: 17.5 gpm
SYSTEM FLOW RATE
System flow rate: _3 gpm
Method of determining system flow:
_ Maximum flow from the pump curve
Total. dynamic head calculation (attach calculation sheet)
Simplified total dynamic head (attach pipe length + filter +
PUMP SELECTION
Pump make & model: 4tu v `' ~ 2.607
IZ-
(attach pump performance curve, indicating flow as calculated above)
SUCTION PIPE SIZE
Branch piping size Ainch @ 6 fps or lower
Truck line size inch @ 8 fps
RETURN PIPE
Pipe size inch @ 10 fps
t1,eX KOV4,,
2 018 I: ' No. 16668
v ; STATE.OF ��\o
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Engineer of Recor �yd Seal
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