HomeMy WebLinkAboutREQUIREMENT COMPLIANCE - POOL-SPA-HOT TUBPLANNING & DEVELOPMENT SERVICES DEPARTMENT RECEIVED
Building and Code Regulations Division
2300 VIRGINIA AVE Nov 2 7 1018
FORT PIERCE, FL 34982
(772)462.1553 Fax(772) 462.1578 Permitting b Comment
AFFIDAVIT OF REQUIREMENT COMPLIANCE
Residential Swimming Pools, Spa, and Hot Tub Safety Act SCANNED
BY
PERMIT # l $ 1I —� St Luce County
I (We) a knowledgPythat 4ew swimming pool, spa, or hot tub will be constructed or installed at
1500 i l V mom i l9'' Y� , 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 F 1246 -9 1 (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 of85decibels 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.
1 understand that not having one of the above installed at the time of final inspection, or when the pool is completed for contract
pm -poses, 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 finallmd.
1, the contractor, agree to instruct the owner of the proper use and maintenance of such safety dui e.
0010— )( r\\/\ �t •sa A 9-A „.fit+-(
CONT TOR SIGNATURE r /�(/J OW R BIGNATU
STATE OF IDA, ODN OF —LIE `-- STATE OF FLO DA, j1NTY OF
NOTA -P LIC NOTARY PUBLIC
The foregoing Instrumentwas acknowledged before me
this a day of h ' ✓
by L,74`1
Personally Known or Produced Identification
Type of Identification Produced:
Ve C 8 MILLS
Commission #FF 228285
My Commission Expires
Se tembar 4 2019
SLCPDS Revised 07/22/2014
The foregoing instrument was acknowledged before me
this ---�-= day of J ✓ .20
by tJ r
Personally Known or Produced Identification
Type of Identification produced:
=M"L
85s