HomeMy WebLinkAboutREQUIREMENT COMPLIANCE - POOL-SPA-HOT TUBPLANNING. & DEVELOPMENT SERVICES DEPARTMENT
' Building and Code Regulations Division
2300 VIRGINIA AVE RECEIVE
FORT PIERCE, FL 34982,
(772) 462-1553 Fax (772) 462-1579
NOV C 2018
AFFIDAVIT OF REQUIREMENT.. COMPLIANCE
Residential Swimming Pools, Spa, and Hot Tub Safety Act ST' Luclt; County, Permitting .
PERMIT #
I (We) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at . �e
3oas NWFuADcu111= WAY . and hereby affirm that one of the following met�lli C .I& .
(Please print street address) - /0�
will be used to meet the requirements of Chapter 515, Florida Statutes: (Please initial the method used. for pool.) O�
I r r 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 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.
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 of the swimming pool has been finalized.
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I, the contractor, agree.to instruct the owner of the proper and mai ance of such safety device.
RAC SIG45ATURE 'OWNER R SIGNATURE
WINTATE OF FLORIDA, COUNTY lJ ��-1�{lAV ST TE OF FLORIDA, CO TY OF
N Y PUBLIC TARY PUBLIC
The foregoing instrum nt was acknowledged before me The foregoing instrument was acknowledged before me
this day of 20 this I day, of �( , 20
In �n m
by by Y� of n no, Mas-�
J.
Personally Known " " or Produced Identification Personally Known or Produced Identification
Type of Identification Produced: Type of Identification produced: J hVer 1 i Cens�,
iA c ANGE A BORSODI-BIRMINGMAM
per` °&' ., ANGE=Na.tionalNotarv
IRMINGHAM f.ti ..76G'
ix�/• Notary Public - State. of Florida
Notarte of Florida "a,
'I� Commission.lt GG 249625
SLCPDS /2014 oG 249625 '•?o ' My Comm. Expires Aug 16. 2022
i My Coug 16..2022 s 9orced throNotary Assn. Bonded through National. Notary Ass"..1