HomeMy WebLinkAboutAFFIDAVIT OF REQUIREMENT COMPLIANCEPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
SCANNED
N i300 VIRGINIA AVE
FORT PIERCE, FL 34982
R-y (772) 462-1553 Fax (772) 462-1578
St Lucie, r1of"11
AFF DAVIT OF REQUIREMENT COMPLIANCE
Residential Swimming Pools, Spa, and Hot Tub Safety Act
PERMIT ti
I (We acknowledggg,,that a new swimming pool, spa, or hot tub will be constructed or installed at
� I — V b I PI G ( Gaut. ct- C4— 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 pooll 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 thelpool 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 atIthe 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 inijail as established in chapter 775, F.S.
I
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 proper use and maintenance of such safety device.
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COUNTY
The foregoing instrument was acknow 0gedefore me
4 F--� T&—this day of u� , 20
b I. J•aOl( a-ra%`1
Personally Known or Produced Identification
Type of Identification Produced:
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FARA D HERNANj
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NOTARY PUBLIC
The foregoing instrument was acknowleylged bJXore me
this day of 4Z0 , l)uJ�S-
by e Oek-r 'tib i M E�- �- /—
Personally Known or Produced Identification `r
Type of Identification produced-4r-D L—
FARA D HERNANDEZ
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MY COMMISSION #FF172419
28, 2018
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(a07) 3�Ot53
EXPIRES October
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