HomeMy WebLinkAboutAFFIDAVIT OF REQUIREMENT COMPLIANCEPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code regulations Division
ttttttr 23W VIRGINIA AVE
FWT 1PIERCE, FL 34982
CANNED CM) 46,-1553 Fax (772) 462-1S78
F1�A VIT OF AEQUIREMENT C®MPLUNCE
S� �Q9°Rein utial I'¢aK Spa, and Hot Tub safely Act
PER HT #
acknowledge that a new swimming pooh spa,, tir hot tub will be constructed or installed at
Z N W 6Aq(AJ6dp Nek PAM G fV k- 3LhiO , and hereby affirm that one of the following methods
(Please print street address)
will be used to meet the requirements of Chapter 51
The pool will be isolated from access to the home by an
The pool will be equipped with an approved safety pool
Safety Covers for Swimming Pools, Spas, and Hot TVbs
` 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
Florida Statutes: (Please initial the method used for pool)
that meets the pool barrier requirements of Florida Statute 51529,
complies with ASTM F1246 91(Standard Performance Specifications for
home to the pool will be equipped with an exit alum 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 time of final inspection, or when the pool is completed for contract
purposes, will constitute a violation of Chapter 515, F.S., and will he 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 Inspectidns 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.
STATE OF FLORIDA, COUNTY OF MA9-1I 0
WARY C
The foregoing instrument was acknowledged before me
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this 1 Z day of
i
by kyAl'1 F6-MA N)
Personally Known or Produced Identification
i
I
Ty oduced:
JULIE M SCALISE
My COMMISSION 0 GG081020
EXPIRES April 08, 2021
I
SLCPDS Revised 07/22/2014
OWNER SIGNATURE
STATE OF FLO
A, COUNTY OF
H A44
W
NOTARY
UBLIC
The foregoing instrument was acknowledged before me
this 1 2 day of .20
by i9AUIU A P-U,556L -
Personally Known or Produced Identification
Type of identification produced:
;r JULIE PASCALISE
I' MY COMMISSION # GGOO1020
EXPIRES April 08, 2021