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HomeMy WebLinkAboutAFFIDAVIT OF REQUIREMENT COMPLIANCE - RESIDENTAL SWIMING POOLSPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
.(772) 462-1553 Fax (772) 462-1578 �4
���°y AFFIDAVIT OF REQUIREMENT COMPLIANCE ©,
Residential Swimming Pools, Spa; and Hot Tub Safety Act��
le) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at
HAZELWOOD DR, FT PIERCE FL 34982 , and hereby affirm that one of the following methods
(Please print street address)
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 harrier requirements of Florida Statute 515.29.
Thu pool will be equipped with an approved safety pool cover that complies with ASTM F1246-91(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 of 85decibels at 10 feet
Ail doors providing direct access from the home to the pool wiil be equipped with sei dosing, seTflatching devices with release mechanisms
placed na lbWertban 54 inches above the floor or deck.
md'that riot haOlig one of the above installed at the time of fllial inspection, or wheii the p061 is e6mpleted 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 fmalized.
I, th contractor, agree to instruct the owner of the proper use and maintenanc of such safety device.
CONTRACTOR SIGNATURE A`OWNER SIGNATURESTA T OFFLORIDA, COUNTY OFAAA(ell— l— STATE OF FLORIDA, COUNTY OF
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The fir oin instrument was acknowledged
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this I day of a - 201L
-byJ lyd-&
Persol ally Known v or Produced Identification
Type of Identification Produced:
J'asanclM A..Ingraharn
NOT_AiiYBLIC
t-'`- STATE OP, FLORIDA
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SLOP I S Revlsed Ex- 3/9/2020
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The foregoing instrument
was acknowledged before me
this day of SY �- 20—�y
by / i Ae �� li O dni j
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Personally Known or Produced Identification
Type of Identification produced: D C'
.:Qsandra A...11VMham
N& NOTARYPUBLIC
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