HomeMy WebLinkAboutREQUIREMENT COMPLIANCE - POOL - SPA - HOT TUBH --
PLANNING & DEVELOPMENT SERVICES
BUILDING & CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553
AFFIDAVIT OF REQUIREMENT COMPLIANCE
Residential Swimming Pools, Spa, and Hot Tub Safety Act
PERMIT #
I e), acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at
riyo?� a/1/,% , and hereby affirm that one•of the following methods
(Please print street address)
will be used to meet the requirements of Chapter 515, Florida Statutes: (Please initial the method used for pool.)
The pool willbe isolated from access to the home by an enclosure that -meets the pool•barder 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.
Ind that not having one of the above installed at the time of final inspection, or when the pool is completed for contract
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.
d 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.
G'OLV'TR:4�CtGNA�T� 11
STATE OF FLORIDA, COUNTY OF T. L V C,1 6
A •
NOTARY PUBLIC
�ing
The foreginstrument was acknowledged before me
this _day of C .20 I
by s f V V \ x
Personally (Known or Produced Identification
Type of Identification Produced:
ip"rt► =ina
e of Florida
wing
•G 201733SLCPDS Reised 10/07/201 � ad
/ OWNER SIGC4ATUttE
STATE OF FLORIDA, COUNTY OF�
NOTARY PUBLIC
The foregoing instrument was acknowledged before we
this -1 day of �� , 20
by4!5-Y
Personally Known ar Produced Identification
Type of Identification produced:
` 1.Ny6•. JO ANNE WILLS
�`GGOp•- :�= Commission # FF 188304
. o Expires February 20, 2019
F„Q1 Boded Thm Troy Fain Insurance 800-385.7019
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