HomeMy WebLinkAboutREQUIREMENT COMPLIANCE - POOL-SPA-HOT TUBPLANNN& DEVELOPMENT SERVICES Llr,'ARTMENT
Building and 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 #
RECEIVED
NOV 0 5 2018
ST. Lucie County/ 1'gr►i11wng
SCQNNED
I (We) acknowledge that a new swtmmtn pool, spa, or hot tub will be constructed or installed at St (UCj L+
and hereby affirm that one of the following methods OL/htJ/
(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.
l will be equipped with an approved safety pool cover that complies with ASTM F1246-91(Standard Performance Specifications for
The poo
Safety Covers for Swimming Pools, Spas, and Hot Tubs).
iAII doors and windows providing direct access from the home to the pool will be equipped with an exit alarm that has a minimu in sound
1pressure 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
1placed 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 maintenance of such safety device.
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CONTRACT 07k SIGNAT RE OWNER AGNATURE ,,rr
STA � O '.LORID .COUNTY OF ~ STA F FLORIDA, COUNTY OF 7 !� Z4 t �
NO Y PUBLIC NOTARY PUBL
The foregoing instrument was acknowledged before me
this day of C Je .20_Ze,
by T LC—j X 13
Personally nown or Produced Identification
Type of Identification Produced:
SHERRI FEHLMAN
SLCPDS Revised 04/11/2011*4,10* Commission # GG 187160
Expires March 14,2022
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The foregoing instrument was acknowledged before me
this ` g day of (1 e" 7 — . 20
by
Personally Known� or Produced Identification
Type of Identification produced:
;P. :°pe�,�, SHERRI FEHLMAN
* Commission # GG 187160
9,F P�o� Expires March 142022
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