HomeMy WebLinkAboutpool affidivatPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIRGINIA AVE ---_ ---•—�
FORT PIERCE, FL 34982 R F, C� E t
(772) 462-1553 Fax (772) 462-1578
JUL 08,
AFFIDAVIT OF REQUIREMENT COMPLIAN E
Residential Swimming Pools, Spa, and Hot Tub Safe"ct��i.�i�_t
PERMIT #
I (We) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at
220 RAMIE LANE, PORT ST. LUCIE FL. 34952 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 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 FI246-91(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.
I understand that not having one of the above installed at the time of final inspection, or when the pool is completed for contract
purposes, 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
CONTRAC R SIGNATURE
ST LUCIE
STATE COUNTY OF
NOTARY PUBLIC
The foregoing instrument was acknowledged before me
this O day of 3 V�H 120 iq
by V Avc�1,�t\1�vSki�SS
Personally Knowny or Produced Identification
maintenance of such safety device.
OWNER SIGNATURE
STA OF FLORIDA, COUNTY OF ST. LU C I E
J11'04b- J-46 -
NOTARY: PUBLI
The foregoing instrument was acknowledged before me
rc� \ ` 1
this day of �] V I C� , 24-1
by ?Gty e) (CU U
Personally Known or Produced Identification /<
Type of Identification Produce& Type of Identification produced:
Notary Public Since d Florida
bdrlenO C Wright
MY Commission G10 200092
Expires O1/O 42025
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SLCPDS Revised 07/22/2014 ae ��� State of Flonm
S tiJ�,�My Cmanisdon Expires 11/1S12Q22
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