HomeMy WebLinkAboutAFFIDAVIT OF REQUIREMENT COMPLIANCEPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
1�'
2300 VIRGINIA AVE
SCANNtli FORT PIERCE, FL 34982
BY (772) 462-1553 Fax (772) 462-1578
�� Q ➢➢V"" P'W' DAVIT OF 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
Lot 3, Blk 91, unit 9, Indian River Estates, as recorded in PB 10, PG 74, 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 pool cover that complies with ASTM F1246-91(Standard Performance Specifications for
Safety Covers for Swimming Pools, Spas, and Hot Tubs).
V 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 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 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 devices, or the lack of maintenance, or the removal of such after the swimming pool has been finalized.
I, the contra r, agree tb instr et the owner of the proper use and maintenance of such safety device.
CONTRACTOR SI NATURE ,p I 0.WNER',SIGNA'T:URE
STATE OF FLORIDA, COU Y OF [ELM ��Q:Gi� STATE OF FLORIDA, COU F,
Y OF A L M �AG�
NOTARY PUBLIC
The foregoing instrument was acknowledged before me The foregoing instrument was acknowledged before me
this 3day of P6r - , 20 \`1 this 0 day of /1�1 — (' - , 20 t-1
by RS-AJ O by C-A N P-,-v `k'e (-
Personally Known or Produced Identification Personally Known or Produced Identification lI/
Type of Identification Produced:
MADIS a DIAZ
.= MY COMMISSIOU FF 2228M
EXPIRES: April 29, 2019
Bonded Thm Notary PubGe Undenmters
SLCPDS Revised 7/22/2014
Type of Identification produced: fl' 7 L
MADIS Ca, DIA;
MY COMMISSION N F
EXPIRES: April 2E-
Bonded Thm Notary Public
MYCOMMjSSION 9 FF222888
EXPIRES: Apdi 29, 2019
Banded Thor Notary Pubr� UnderwritaB