HomeMy WebLinkAboutAFFIDAVIT OF REQUIREMENTr PLANNING. & DEVELOPMENT SERVICES. DEPARTMENT.
Building and Code Regulation_ s Division
2300 VIRGIN IA AVE .
d FORT PIERCE, FL 34982.
(772)462-1553
St LO����� AFFIDAVIT OF REIQ .
Residential Swimming Poo
PERMIT #
I' (We) acknowledge that a .new swimmingpool, spa, or hot
UIL
(Please.print street address)
i �e us d to meet the requirements of Chapter 515, F
he will be isolated from access to the home by an encl,
The pool will be equipped with an approved safety pool cov
Safety Covers for Swimming Pools, Spas; and Hot Tubs).
All doors and windows providing direct access from the hor
pressure rating of 85decibels at 10 feet.
Fax (772) 462-1578 RECEIVED
UIREMENT COMPL. ANCE��pp
Is, Spa, and Hot Tub afety A&` 2 8 2018
ST. Lucie County, Pel'mitting
tub will be constructed or installed at
and hereby affirm .that one of the following methods
rida Statutes: (Please initial the.method used.for pool.)
re that meets the pool barrier requirements of Florida Statute 515.29.
hat complies with ASTM F1246-91(Standard Performance Specifications for
to the pool will be equipped -with an exit alarm that has a minimum sound
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 no to $500.00 and/or no to 60. days in jaihas established in chapter 775, F.S.
I understand that the St. Lucie County Building Inspections Department assumes no liability for the final'inspectiowof 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. proper use a I ce of such safety device
�' A t UICE
)JU,E14 COUNTY OF
- -1 NOTARY PUBLIC
The foregoing instrument was ackno*�d before me
this day of 1 "l 10.a"C 20�
W, /_ &wu_s-. ). i+-o inar<i
Personally Known .or Produced Identification
Type of Identification Produced:
FARA D HERNANDEZ
i MY COMMISSION #FF172419
SLCPDS Revised 07/2 �� . ..EXPIRES October 28, 2018
OF
(407) 3WI53 FlorklallotaryService,com
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OF
PUBLIC
The foregoing instrument was acknow dged b ore me
this' day -of , 20_
i by CLKW.
r ,
i Personally Known i or Produced Identification
Type of Identification produced: PO) L
•
I
_ ........" FARAD HERNANDEZ
• MY COMMISSION #FF172419
I-'�;�•�,oP.•° EXPIRES October 28, 20t8
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4407).39&0153 'FiofidallotaryService.com
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