HomeMy WebLinkAboutAFFIDAVIT OF REQUIREMENT COMPLIANCEPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building -and Code Regulations Division
2300 VIRGINIA AVE
Ely FORT PIERCE, FL 34982
(cam Q de ftntv (772) 462-1553 Fax (772) 462-1578
VIT OF REQUIREMENT COMPLIANCE
Swimming Pools, Spa, and Hot Tub Safety Act
PERMIT # I
I (We) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at
& QIr & ?P SS 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 t I the home by an enclosure that meets the pool barrier requirements of Florida Statute 515.29.
The pool will be equipped with an app oved safety pool cover that complies with ASTM F1246-91(Standard Performance Specifications for
Safety Covers for Swimming Pools, S as, and Hot Tubs).
All doors and windows providing dir�et 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 felt.
All doors providing direct access froT 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 Ch Ipter 515, F.S., and will be considered as committing a misdemeanor of the second degree,
punishable by fines up to $500.00 and/or dp to 60 days in jail as established in chapter 775, F.S.
I understand that the St. Lucie County Bdilding 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.
CONTRACTOR SIGNATURE
`N - N
OWNER SIGNATURE
`d,c�lrr�c I.Lf%l�
STATE OF FLORIDA, COUNTY OF AJ2 A� STATE OF FLORIDA, COUNTY OF
RY PUBLIC NOTARY PUBLIC
The foregoing instrument was
this qday of
by
Personally Known _/ or Produced
Type of Identification Produced:
KRISTU
MY COMMI
',r'ey EXPIRES
SLCPDS Revise 014
before me The foregoing instrument was acknowledged before me
920 l t, this _ day of nAJ 20_(_&_
byVV
ication Personally Known or Produced Identification
Type of Identification produced:
L GRUNZWEIG ;;KRISTINA L GRUNZWEIG
SION # GG064087 ": MY COMMISSION # G0054087
anuary 18, 2021 EXPIRES January 18, 2021