HomeMy WebLinkAboutAFFIDAVIT OF REQUIREMENT COMPLIANCEf'�i."O F Fte.a3
NE® AFFIDA
BY at LUC,e G®Un esidentiai
PERMIT #
I (We) acknowledge that a new
Wlease print street address)
will be used to meet the requirements of Cl
140- The pool will be isolated from access to the
The pool will be equipped with an approved
Safety Covers for Swimming Pools, Spas, at
All doors and windows providing direct
pressure rating of 85decibels at 10 feet.
All doors providing direct access from -the he
placed no lower than 54 inches above the flo
I understand that n having one of the above ins
purposes, will constitute a violation of Chapter 51
punishable by fines up to $500.00 and/or up to 60
I understand that the St. Lucie County Building
above protective devices, or the lack of maintens
SERVICES DEPARTMENT
and Code Regulations Division
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 Fax (772) 462-1578
OF REQUIREMENT COMPLIANCE
zming Pools, Spa, and Hot Tub Safety Act
or hot tub will be constructed or installed at
57 , and hereby affirm that one' of the following methods
ter 515, Florida Statutes: (Please initial the method used for pool.)
e by an enclosure that meets the pool barrier requirements of Florida Statute 515.29.
ny pool cover that complies with ASTM F1246-91(Standard Performance Specifications for
lot Tubs).
from the home to the pool will be equipped with an exit alarm that has a minimum sound
e to the pool will be equipped with self closing, self latching devices with release mechanisms
or deck.
led at the time of final inspection, or when the pool is completed for contract
F.S., and will be considered as committing a misdemeanor of the second degree,
ys in jail as established in chapter 775, F.S.
ections Department assumes no liability for the final inspection of one of the
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.
C 94V goo C' WNE SIG A
2STf0F FLORIDA, COUNTY OF F L Ll �6'• STATE OF FLORIDA, COUNTY OF 6�, Ll.t QJ_ t .
U %rGcG!%c ¢ec ja
N TARY PUBLIC NOTARY PUBLIC
The foregoing instrument was acknowledged before me The foregoing instrument was acknowledged before me
this,' `Aay of /l/Q112rC11— , 20this day of NIdf&L , 20 19
by ,. M,Mt,& by Larow AuKn t u Jr.
Personally Known X or Produced Identification Personally Known or Produced Identification_'
Type of Identification Produced:
v''ue KRISTINE MICHELLE TAy
.1aa 44
State of Florida -Notary P
=• Commission # GG 155,
SLCPDSRe e'' 4 My Commission Expir
October 29, 2021
Type of Identification producedOyiy fl t L i%eri u -
.OR �s`"rlpllo KRISTINE MICHELLE TAYLOR
. ��` ee
blic ;.=0 aState of Florida -Notary Public
18 ;* *- Commission # GG 155618
s
My Commission Expires
October 29, 2021