HomeMy WebLinkAboutAFFIDAVIT REQUIREMENT - POOLS- SPA- HOT TUBPLANNING & DEVELOPMENT SERVICES- DEPARTMENT
Building and Code Re -
g gulations Division RECEIVED
2300 VIRGINIA AVE
FORT PIERCE, FL 34982 AUG
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' (772) 462-1553 Fax (772) 462-I578. A U la 2 4 2018
AFFIDAVIT OF REQUIREMENT COM[PLW. CE". II—UdC COLlnty, Permitting -
Residential Swimming Pools, Spa, and Hot Tub Safety Aet
r# SCANNED
acknowledge that a new Swimmingpool, spa, or hot tub will be constructed or installed at St. Lude Ccunn v
57 Z&r V 4s ✓-e-L )>K— and -hereby affirm that one of the following methods
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be used to meet the requirements of Chapter 515, Florida Statutes: (Please initial the methodused 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 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
t / placed no lower than 54 inches above.the floor or deck J L�y�
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wstand that not having one -of the above installed at the time of final inspection, or when the pool is completed for contract
ses, will constitute a violation of Chapter 515, F.S, and will be; considered as committing a misdemeanor of the second degree,
table by lines up to $500.00 and/or up to 60 days in jail as established in chapter 775, F,$.
xstand 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.
contractor, agree to instruct the owner of the proper use and maintenance of such safety device:
OF FLORIDA, COUNTY OF
foregoing.instrument was acknowledged before me
CNER SI ATURE
STAT FLO A, COUNTY OF JT_
NOTAR UBLIC
The foregoing instrumentwas acknowledgedbefore me
Uf day Of i,tCl�( j (� 26 i this _ day of 20
by _ 4/l C (f til C l l S
or Produced Identification
MY COMMISSION #FF184063
EXPIRES December 16, 2018
FALLON TUTHILL
s_ Notary Public - State of Florida
Commission # GG 032901
My Coma,.Expires Sep 22, 2020
Bonded through National Notary Assn.
Personally Known or Produced Identification
Type of Identification produced:
Y ,,
P`B`�e+•;
FALLON TUTHILL
Notary Public - State of Florida
Commission # GG 032901
My Corrmt..Expires Sep 22, 2020
Bonded through National Notary Assn.