HomeMy WebLinkAboutAFFIDAVIT OF REQUIREMENT COMPLIANCEPLANNING &
- N - N� •il� II
Residential
PERMIT # ,J D ` -en
I (We) acknowledge that a new swimming p
11710 Orange Ave. Fort Pierce, FL 34945
(Please print street address)
will be used to meet the requirements of
The pool will be isolated from access to the
SERVICES DEPARTMENT
and Code Regulations Division
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 Fax (772) 462-1578
OF REQUIREMENT COMPLIANCE
nming Pools, Spa, and Hot Tub Safety Act
spa, or hot tub will be constructed or installed at
and hereby affirm that one of the following methods
515, Florida Statutes: (Please initial the method used for pool.)
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 F1246-9 I (Standard Performance Specifications for
Safety Covers for Swimming Pools, Spas, and Hot Tubs).
All doors and windows providing direct aecess from the home to the pool will be equipped with an exit alarm that has a minimum sound
pressure rating of85decibels at 10 feet.
I 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 iinstalled 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
above protective devices, or the lack of
I, the contractor, agree to instruct the
SIGNATURE
STATE O FLORIDA, COUNTY OF
NOiAkY PUBLIC
The foregoing instrument was ack
this -9,0 day of
by r-e- Cl C-)d c r�
Personally Know or Produced
Type of I e i • ��
ROBERTA M. MILLER
Notary Public -State ofFlori
Commission I GG 122530
de
My Comm. Expires Jul9,20"
Bonded through National Notary A
SLCPDS Revised 07/22/2014
Inspections Department assumes no liability for the final inspection of one of the
ance, or the removal of such after the swimming pool has been finalized.
the proper use and °�ii tenance of such afe device.
i � !
OWZkk SIGNATURE
( U-e Fr' STATE OF FLORIDA, COUNTY OF "Q
NOTARY PUBLIC
before me
20 1 t ,
The foregoing instrument was acknowledged before me
this z& day of 201P-'/
by 4 YI h Z° # OL. 1
Personally Known or Produced Identification
Type of Identification produced: F L e u"r—o - s- L e ceAi s&
Yo�ep/7z/6
;,2°"°'a'o
y `�►�
•
ROBERTAM.MILLER
Notary Public -State of Florida
' ' '
�, CFr �;,0`•
Commission = GG 122530
M Comm. Expires Jul 9, 2021
Bonded through National hctzryAssr.