HomeMy WebLinkAboutAFFIDAVIT OF REQUIREMENT COMPLIANCE' PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
nB �® 2300 VIRGINIA AVE
SCANNED �N FORT PIERCE, FL 34982
g U , (772) 462-1553 Fax (772) 462-1578
—SQ, LU018 COT
AFFIDAVIT OF REQUIREMENT COMPLIANCE
Residential Swimming Pools, Spa, and Hot Tub Safety Act
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I (dire) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at
923 SHORT CHIP CIRCLE and hereby affirm that one of the following methods
(Please print street address)
wil be used to meet the requirements of Chapter 515, Florida Statutes: (Please initial the method used for pool.)
In
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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 F124691(Standard Performance Specifications for
Safety Covers for Swimming Pools, Spas, and Hot Tubs).
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 of85decibels 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.
ind that not having one of the above installed at the time of final inspection, or when the pool is completed for contract
will constitute a violation of Chapter 515, F.S., and will be considered as committing a misdemeanor of the second degree,
e by fines up to $500.00 and/or up to 60 days in jail as established in chapter 775, F.S.
rstand that the St. Lucie County Building Inspections Department assumes no liability for the final inspection of one of the
protective devices, or the lack of maintenance, or the removal of such after the swimming pool has been finalized.
I, (fte contractor, agree to instruct the owner of the proper
TPSWWSIGNATURE
T OF O UNITY OF
'ARY PUBLIC
foregoing instrument was ach
_day of
Known or Produced Identification
of Identification Produced:
OF LX ,
NOTARY PUBLIC
me The foregoing instrument was acknowlellgt4jbefore me
, 20�, this day ofJAI.AL , 20 !Q y
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-K--, FARA D HERNANDEZ
+ MY COMMISSION #FF172419
Revised 07/2 /? o,.=
"'••.'f'od{'.' EXPIRES October 28, 2018.
(407) 3900153 FloridallotaryService.com
Personally Known or Produced Identification ✓
Type of Identification produced: �Ay—PL—
.
'"�... k FARAD HERNANDEZ
•iA;*'W'
•= MY COMMISSION #FF172419
�EXPIRES October 28, 2018
(407) 39"l53 FloridallotaryService.com