HomeMy WebLinkAboutAFFIDAVIT OF REQUIREMENT COMPLIANCEPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300'VIRGINIA AVE
FORT PIERCE, FL 34982
ISCANNE J (772) 4624553 Fax (772) 462-1578
BY AFFIDAVIT OF REQUIREMENT COMPLIANCE
St Lude County Residential Swimming Pools, Spa, and Hot Tub Safety Act
PER3M #
acknowledge that a new swimming pool, spa, or
(Please print street address).
will be used to meet the requirements of Chapter 515,
V The pool will be isolated from access to the home by an en
The pool will be equipped with an approved safety pool c
Safety Covers for Swimming Pools, Spas, and Hot Tubs).
)t tub will be constructed or installed at
, and hereby affirm that one of the following methods
lrida Statutes: (Please initial the method used for pool.)
are that meets the pool barrier requirements of Florida Statute 515.29.
that complies with ASTMF124691(Standard Performance Specifications for
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.
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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 co ee to instruct
CONTRACTOR SIGNAVJIP
STATE OF ORIDA, OUNTY OF
NOTARY PUBLIC
of the proper use and maintenance itch safety device.
R SIGNA
The foregoing instrument was acknowledged before me
this (l�}� day of 20A ,
by rrV
Personally Knowny or Produced Identification
Type of Identification Produced:
#0 % Notary Public State of Florida
A Thomasina Bowins
SLCPDS Revised 07/22/2014 My Commission GG 201733
' Expires 03/2912022
ATE OF FLORIDA, COUNTY OF ,/ / .�
NOTARY PUBLIC
The foregoing instrument was acknowledged before me
tht�= day of
2i L . 20 11'
Personally Known 4- or Produced Identification
Type of Identification produced:
JO ANNE WILLS
Commission # FF 188304
Expires February 20, 2019
Bonded Thru Troy Fein Insurance 800J85-7019
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