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AFFIDAVIT COMPLIANCE SWIMMING POOL, SPA
PLANNING. & DEVELOPMENT SERVICES DEPARTMENT Building and Code Regulations Division SCANNED 2300 VIRGINIA AVE FORT PIERCE, FL 34982 U 1L .(772)462-1553 Fax (772)462-1578 :UG CEIVED AFFIDAVIT OF REQUIREMENT COMPLIANF.Act Residential Swimming -Pools, Spa, and Hot Tub Safe16 2018 # unty,. Permitting I ra`cknowledge that a. new swimming pool, spa, or hot .tub will be constructed or installed at 7 ©9 and hereby affirm that one of the following methods (Please print street address) will a 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. Ii The 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. RI 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 un I,lerstand that not having one of the above installed at the time of final. inspection, or when the pool is completed for contract pur ses, will constitute a violation of Chapter 515, F.S., and will be considered as committing a misdemeanor of the second degree, puni i liable by fines up.to $500.00 and/or up to 60. days in jail as established in chapter 775, F.S. I un erstand that the St. Lucie County Building Inspections Department assumes no liability for the final inspection of one of the abovl protective devices, or the lack of maintenance, or the removal of such after the -swimming pool has been finalized. 1, thi contractor, agree to instruct the owne e.proper use and in * enance of such safety device. COUNTY OF The �gregoing instru nt was acknowledged before me this IV(j1���"���' day of 20 by I Personally Known. A or Produced Identification j Type f Identification PropV TRACf.`(Illl• MCGHEE b BLIe � ATE OF FLORIDA ma# FF241935 2E Wi . Expires 8/10/2019 SLCPDS Revised 07/22/2014 OK SIGNATURE S AVN COUNTY OF 4 ! 77 IC The foregoing instrume t was acknowledged before me this day of 20 by nD n Personally Known or Produced Identification Type of Identification produced: Ut ey�y TRACEY W. MCGHEE Q NOTARY PUBLIC STATE OF FLORIDA Corm FF241935 ��� Expires 8/10/2019