HomeMy WebLinkAboutAFFIDAVITC OF REQUIREMENT COMPLIANCEr
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PLANNING & DEVELO
SCANNEUBuilding and
FOI
(772) 462
AFFIDAVIT OF R]
Residential Swimming
[W331 W
I (We) acknowledge that a new swimming pool, spa, or
65 Aqua Ra Drive Jensen Beach, FL 34957
(Please print street address)
will be used to meet the requirements of Chapter 515,
X The pool will be isolated from access to the home by an er
The pool will be equipped with an approved safety pool c
Safety Covers for Swimming Pools, Spas, and Hot Tubs).
All doors and windows providing direct access from the
pressure rating of 85decibels at 10 feet.
All doors providing direct access from the home to the
placed no lower than 54 inches above the floor or deck.
SERVICES DEPARTMENT
We Regulations Division
VIRGINIA AVE =RECEIVEDPIERCE, FL 34982
63 Fax (772) 462-1578
�UIREMENT COMPLIANCEools, Spa, and Hot Tub Safety Act
►t tub will be constructed or installed at
, and hereby affirm that one of the following methods
irida Statutes: (Please initial the method used for pool.)
are that meets the pool barrier requirements of Florida Statute 515.29.
that complies with ASTM F1246-91(Standard Performance Specifications for
to the pool will be equipped with an exit alarm that has a minimum sound
will be equipped with self closing, self latching devices with release mechanisms
I understand that not having one of the above installed at the jtime 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 in jail ps 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 contractor, agree to instruct the owner of the proper use and maintenance of such safety device.
STAT O LORIDA, COUNTY OF MMLI / Ill
NOTARY PUBLIC
The foregoing instrument was acknowledged before me
this ZL_day of 1-EBRUARU ,
by
Personally Known y' or Produced Identification
Type of Identification Produced:
i:Niv ALIENE S. DONOVAN
M. COMMISSION # GG 014371
xMY
4c EXPIRES: October 1, 2020
SLCP Kc�Ji1 �g)7 1Td'ru Notary Public Underwrilas
k
,QWNER S-116Mf RE
S TE OF FLORIDA, COUNTY OF s -Luu0- L .2
TTN
The foregoing instrument was acknowledged before me
this 'oZ� day of C",e�b/IZ�IGi�✓/l� , 20 /8
by //` 1 Ce 1ti.i Cites r I
Personally Known or Produced Identification
Type of Identification produced:
SARA DONOVAN ALEXANDER
r= MY COMMISSION # GG 093050
EXPIRES: June 11, 2021
Swded Thru Notary Public Undaneilers