HomeMy WebLinkAboutAFFIDAVIT OF REQUIREMENT COMPLIANCE,SCANNED
By
at LuCIe County
PERMIT #
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 Fax (772) 462-1578
AFFIDAVIT OF REQUIREMENT COMPLIANCE
Residential Swimming Pools, Spa, and Hot Tub Safety Act
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I (We) acknowledge that a new swimming 'pool, spa, or hot tub will be constructed or installed at
�S k\ L r.-e-1 and hereby affirm that one of the following methods
(Plelse 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 thie 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).
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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.
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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 tie 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, FS., 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.
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I understand that the St. Lucie County Build ng 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.
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I, the contracto agree to instruct the omnpr,of the proper use and ance of such ety ce.
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CO CTOR SIGN OWNER SIGNATURE l
OF FLORIDAI 4VOUNTY OF
ARY PUBLIC
The foregoing instrument was�aclm� oowwledged before me
this .day off M {11V Y I , 20A,�,
by J� 1 T
Personally Known or Produced Identification V
Type of Identification producedP Vf � t'7 N \fie-(
L—\Ua<-'�
SUSANJAW7A31r1,02
¢ fir•; NotaryPublic
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Sta
SI wised 6'Pf221' 61gI G
My Comm. Expires1banded through Nation.
OF 1Y1t'TP:A �"�
NOTARY PUBLIC
The foregoing instrument was acknowledged before me
this 2y d y of Vr%e V R-,
by
Personally Known Lt�or Produced Identification
Type of IdentifRig
.y
INtate of Florida
19 191205