HomeMy WebLinkAboutAFFIDAVIT OF REQUIREMENT COMPLIANCEPLANNING & DEVELOPMENT SERVICES DEPA�'.�'MENT
Building and Code Regulations Division
,,SCANNED 2300 VIRGINIA AVE
FORT PIERCE, FL 34982 EIVE D
BY (772)462-1553 Fax (772) 462-1578
St. Lucie County
AFFIDAVIT OF REQUIREMENT COMPLIANCE 2 5 2018
Residential Swimming Pools, Spa, and Hot Tub Safety ActLL
�+nty, Permitting
PERMIT # '
I (We) acknoIwledge that a new swimming pool, spa, or hot tub will be constructed or installed at
9319 SCARBROUGH CT PORT ST LUCIE FL 34986 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 to the home 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 F 1246 -9 1 (Standard Performance Specifications for
Safety Covers for Swimming Pools, Spas, and Hot Tubs).
Alli 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 byfines 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 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
I, the contractor, agree to instruct the owner of the proper use and maintenance of such safety device.
I
CON RA�CTOR SyV F ATIJREI ` •C Y -f
STATE OF FLORIDA, COUNTY OFr
NOTARY PUBLIC
The foregoing) instrument was acknowledged before me
Ii
this � ` di y of H,0, 20 S ,
Personally Known �� or Produced Identification
11
Type of Identification Produced:
Syr hy� Notary Public State of Florida
4P A Thomasina Bowins
man 'Q Expires s03/29/2022 Commission GG 201733
SLCPDS RevisRd 07/22/2014
OWNER SIGNATUW-
STATE OF FLORIDA, CO TY OF ST L U C I E
NOTARY PUBLIC
The foregoing instrument was acknowledged before me
this 31 day of MAY 2018
by
ROBERT S ASCHERFELD
Personally Known or Produced Identification X
Type of Identification produced:
E
•JO ANNE WILLS
__ Commission # FF 188304Expires February 20, 2019
Bo}.ded Thm Troy Fain Incuranu ON.365.1019
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