HomeMy WebLinkAboutAFFIDAVIT COMPLIANCE - POOL-SPA-HOTTUBPLANNING & DEVELOPMENT SERVICES DEPARTMENT
PERNDT #
Building and Code Regulations Division
2309 VIRGINIA AVE
FORT PIERCE, FL 34982
(772)462-1553 Fac(772)462-1578 RECEIVED
AFFIDAVIT OF REQUIREMENT COMPLIAP CE DEC 0 3 2010
Residential Swimming Pools, Spa, and Hot Tub Saf ty Act
ST. Euele Eeentgi PerMiftintl
I (We) acknowledge that a °yew switming pool, spa or hot tub will be constructed or installed at vCBY�E�
a 3o o Ea(l qr b tt address)
, and hereby affirm that one of the following ni%4a)C.
(Please printsVeet address) �� C
will be used to meet the requirements of Chapter 515, Florida Statutes: (Please initial the method used for pool.) DUh�/
C- The pool will be isolated from access m the home by an enclosure that meets the pool harrier requirements of Florida Statute 515.29.
The pool will be equipped with an approved safety pool cover that complies with ASTM F1 24" 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 of 85decibels at 10 feet.
All doors providing direct access from the home to the pool will be equipped with selfelosing, selflatching 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
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 $500.00 and/or up to 60 days in jail as established In chapter 775, F.S.
I understand that the St. Lucie County Building Inspections Department assumes no liability for the final inspection of one of the
above protective devices, or the lack of maintenance, or the removal of such after the swimming pool has been finalized.
1, the contractor, agree to instruct the owner of the proper use and maintenance of such safety device.
CONTRACTOR SIGNATURE
TE OF FLOItmA, OU OFF
TARY PUBLIC
The foregoing instrument was acknowledged before me
V
this I day of-.,PJD%/ 20 1
by
Personalty Known —X— or Produced Identification
Type of Identifiwti0 ed: >� A: IrSrttik7n7
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OWNER SIGMA c7y'.�,
ST OFFLORIDA, COUNTY OF � `u&�
NOTARY PUBLIC
The foregoing instrument was acknowledged before me
this (P d✓ayoof No>20 �$
by K&J4,Na 04Q L
Personally Known or Produced Identification
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Type of Identification produced:
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STAT, OF'P ARIDA
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