HomeMy WebLinkAboutAFFIDAVIT - COMPLIANCE - POOL-SPA-HOT TUB. .
PLANNING. & DEVELOPMENT SERVICES- DEPARTMENT.
COUNTY
Building.and Code Regulations Division
2300 VIRGINIA AVE .
FORT PIERCE; Y'L 34982
.(772)462-1553 Fax (772) 462-1578.
RECEIVED
. . ....
AFFIDAVIT OF REQUIREMENT COMPLIANCE
.Residential Swimliling Pools, Spa, and Hot.Tub. Safe Ac %
MAR � 4 1Q19
1811-0581-
PERMIT ST. Lucie County; .perrrilEj
T (We) acknowledge that a. new swimming pool, spa, or. hot tub will, be.constructed"or installed of.
7832 saddlebrook
Drive-. :. ., and hereby affirm that one'of the following methods
(Please print street address)
SCANNCC
will used to meet the requirements of Chapter 515, Florida Statutes: (Please initial the.method useti.for pool.). 6D
- BY
:rTh.
pool will be isolated from access to the home by an enclosure that meets the pool barrier:requirements of Florida'Statute 515.29. 8tLUde C0Unt4The pool will be equippedwitli 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 doois and windows providing direct access from the home to the pool will be equipped with an exit alarm that has a.niinimum sound
pressure rating of 85decibels at 10 feet:
i
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:.
3 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 �y 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 u
maint nce o su h safety device.
.
CONTRA j' OWNER SI URE:
ST LUCIE ST LUCIE:
ST E OF FI O ,:COUNT OF STA O A, COUNTY OF
on
The foregoing instrument was acknowledged before -me
this day of 1. 1 I I: h , 20
JAMES T. LEONARD,
V
The foregoing instrumenttnnwas acknowledged before me
this 1 day.of �/I �l%h_ , 20.
ey'J PAUL.MAHFOOD
Z °ergo fly Known_.X or Produced, Identification Personally Known or. Produced -Identification X.
DRIVER LICENSE
;^ ?T�rpe Identification:Produced:: Type of Identification produced:
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t:
AtiG_ A 30RSODI BIRMINGHAM ;sppy.a�e•. ANGELA BORSODI-BIRMINGHAM'
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SLC'P S�Revrseti'0,7 212Q •4• • hc: r� Public-. State of Fio{ic � : a %�^ , � •
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