HomeMy WebLinkAboutAFFIDAVIT COMPLIANCE - POOL-SPA-HOT TUBPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 Fax (772) 462-1578
AFFIDAVIT OF REQUIREMENT COMPLIANCE 60�
Residential Swimming Pools, Spa, and Hot Tub Safety Act hl
PERMIT It
I (We) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at
2840 BROCKSMITH RD FORT PIERCE 34945
(Please print street address)
and hereby affirm that one of the following methods
be 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.
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.
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.
understand that not having one of the above installed at the time of final inspection, or when the pool is completed for contract
arposes, will constitute a violation of Chapter 515, F.S., and will be considered as committing a misdemeanor of the second degree,
by fines up to $500.00 and/or up to 60 days in jail as established in chapter 775, F.S.
understand that the St. Lucie County Building Inspections Department assumes no liability for the final inspection of one of the
bove protective devices, or the lack of maintenance, or the removal of such after the swimming pool has been finalized.
the contractor, agree truct the owner of the proper use and maintenance of such safety device.
ATURE
COUNTY OF
e foregoing instrum n4wasacknowled ed before me
sr-�- I'I
s day of 20
•sonally Known
or Produced Identifi on
TRACEY W. MCGg
)e of Identifi NQTARY PUBLIC
At
STA
Contra# FF241935
semu
IF BOOS 8/10/2019
Revised 07/22/2014
16,�I�,.�Z�
OWNER SIGNATURE
AT F COUNTY OF
O A PUBLIC
The foregoing instrum t was acknowledged before me
this day of 20�
by
ak- &t, Vku
Personally Known r Produced Identification
Type of Identification produced:
RACEYW.MCO E =
NOTARY PUBLIC
STATE OF FLORIDA
C,omr# FF241935
Expires 811012019