HomeMy WebLinkAboutAFFIDAVIT OF REQUIREMENT COMPLIANCE POOL-SPA-HOT TUBl m
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division 2300 VIRGINIA AVE -SCANNED
FORT PIERCE, FL 34982 BY
(772) 462-1553 Fax (772) 462-1578
AFFIDAVIT OF REQUIREMENT COMPLIANCE
Residential Swimming Pools, Spa, and Hot Tub Safety Act
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PERMIT #
I (we)acknowledge that new swimming p o1, spa, or hot tub will be constructed or installed at
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l l 1'l1 , and hereby affirm that one of the following methods
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will be� used to meet the requirements of Chapter 515, Florida Statutes: (Please initial the method used for pool.)
` I 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 F1246-91(Standard Performance Specifications for
Safety Covers for Swimming Pools, Spas, and Hot Tubs).
r �1 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.
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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
purpos1gI'ILLs, 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 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, the contractor, agree to instruct the owner of the proper use and maintenance of such safety device.
CONTRACTORI SIGNATURE OWNER SIGNATURE
STA I L IDA, COUNTY OF ST T COUNTY OF
St
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N P I NO P BLIC
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The for (going instrument was acknowledged before meThe Foregoing instrument was acknowledged before me
this f'I day of , A � this -I day of 20
by 11
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Known or Produced Identification
11 Type of ldentific9141cilif
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CEY W. MCGHEE
NOTARY
SPATE OF FLORIDA
Comm FF241935
Expires 8/10/2019
SLCPDS Revised 07/22/2014
Personally Known or Produced Identification
Type of Identification produced:47t 1b 0 Ll
01140-
TRACEY W. MCGHEE
NOTARY PUBLIC
W. STATE OF FLORIDA
COMM # FF241935
Expires 811012019