HomeMy WebLinkAboutAFFIDAVIT OF REQUIREMENT COMPLIANCEAM .
_- PLANNING.& DEVELOPMENT SERVICES -DEPARTMENT.
. .
Building and Code Regulations Division .
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
` (772)I462-1553 Fax (772)462-1578
AFFIDAVIT O� REQUIREMENT COMPLIANCE
Residential Swimming Pools, Spa, and Hot Tub Safety Act
PERMIT "#
I (We) acknowledge that a new swimming pool, spa,'or,hot .tub will be constructed or installed at
G}.�j �p� ✓l c.� Gvt�t rl G']' I:. ,' and hereby affirm that one of the following methods
(Please print street address) . I
will be used to meet the requirements of Chapter 5115, Florida Statutes: (Please initial -the. method used -for pool.).
The pool'
will be isolated from access to the home by In enclosure that meets the pool: barrier, requirements of Florida Statute 515.29.
'The pool will. be equipped with an approved safety Ilol cover that complies with ASTM F1246-9l (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 tote 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'�t the time of final: inspection, or when the pool is coinpleted.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 Department assumes no liability for the final inspection of one of the '
above protective devicesi 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.prolper use d.mai nce of.such safety device.
Co CT SIGNATURE
S ATE L I A, OUNTY OF ST TE FL OUNTY'OF•
OTARY PUBLI" NOTARY PUBLIC
The foregoing instrument was ac ovule ed before me The foregoing instrument was ac owle ed before me
this day of 20, this 12� day. of , 20
ALby by
Personally Known.. or Produced Identification I Personally Known or Produced Identification .
Type of Identification.Producedr Type of Identification produced: LLD'
........... FARA D HERNANDEZ o1C"�'"°c': FARA.D HERNANDEZ
MY COMMISSION #FF172419 s •; MY COMMISSION #FF17241:9
SLCPDS Revised 07/22%20 4� o';
:.•��,�d?• EXPIRES October 28, 2018 °''tcr ��: EXPIRES October 28, 2018
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