HomeMy WebLinkAboutAFFIDAVIT COMPLIANCE - POOL-SPA-HOT TUB 8-31-18NNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIRGINIA AVE
FORT PIERCE, FL34982 ap
(772) 462-1553 Fax (772) 462-1578 �.
AFFIDAVIT OF REQUIREMENTM COMPLIANCE IA
Residential Swimming Pools, Spa, and Hot Tub Safety Act
'ERMIT # j
(We) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at
6600 N. HIGHWAY A7A ; j and hereby affirm that one of the following methods
(Please print street address)
vill 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.
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The pool will be ui p eq 4 sped with an approved safety pool cover that complies with ASTM F1246-91(Standard Performance Specifications for
Safety Covers for S {mining Pools, Spas, and Hot Tubs).
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All doors and windbvs providing direct access from the home to the pool will be equipped with an exit alarm that has a minimum sound
:pressure rating of 854 ibels at 10 feet.
:All doors providing direct access from the home to the pool will be p equipped with self closing, self latching devices with release mechanisms
Placed no lower than 54 inches above the floor or deck.
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understand that not having done of the above installed at the time of final inspection, or when the pool is completed for contract
urposes, will constitute a violation of Chapter 515, F.S., and will be considered as committing a misdemeanor of the second degree,
unishable by fines up to $506.00 and/or up to 60 days in jail as established in chapter 775, F.S.
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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 to insiruct the owner of the pro and m ' na cc of such fe evice.
100
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CTOR SIGNATURE �ye OWNS SIGN RE
&VCOUNT.Y OF ✓ STATE OF & A1AaG�;�
T Y I NOTARY UBLIC
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he foregoing srestrume was acknowledged before me The foregoing instrument was acknowledged before me
is :day of- 20 , this day of v &f1 t 20 l8
by
isonallyM,o n ` s odu cAe%WW!g r lEE Personally Known to or Produced Identification
e of tdentifiwtion NOTARY PUBLIC
p IDA Type of Identification produced:
CotnrAq FF241935
N E I Explres 811012019 . MItHAEL S. YASUTOM1
Notary Public
Commonwealth of Massachusetts
CI� S Revised 07/222014 } My Commission Expires
_� s April 25, 2019