HomeMy WebLinkAboutCOMPLIANCE AFFIDAVIT - POOL - SPA - HOT TUBPLANNu�G & DEVELOPMENT SERVICESCARTMENT
Building and Code Regulations Division
2300 VIRGINIA AVE RECEIVED
FORT PIERCE, FL 34982
(772) 462-1553 Fax (772) 462-1578
DEC 0 3 2018
AFFIDAVIT OF REQUIREMENT COMPLIANCE
Residential Swimming Pools, Spa, and Hot Tub Safety Act Lucie County, permitting
PERMIT N I/ Z — 003
I (We) acknowledge that a new swimming pool, ss a, or hot tub will be constructed or installed at S // SC9�
23oy CANa 4 C/2c�i< L' N P";;41-8 6iZZ and hereby affirm that one of the fallowing method% &)-
(Please print street address) C
will
be used to meet the requirements of Chapter 515, Florida Statutes: (Please initial the method used for pool.) 0U/� y
1 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 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 ]0 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 after the swimming pool has been finalized.
I, the contract ee to instruct t e o r of the proper use and maintenance of such safety device.
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CONTRACTOR SI TURE 1 OWNER tGNATURb
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STATE OF FLORIDA, COUNTY OF �' `- V� C STATE OF FLORIDA, COUNTY OF 1111,41e 7)
NOTARY PUBLIC O ARY PUBLIC aygp'74g" Zyneth Ellyn Wood
LWtary Public, State of Florida
. ' =ommission No. FF 888516
The foregoing instrument was acknowledged before me The foregoing instrument was ackno n EP• May 8, 2020
this __day of NOV . 201�
by 1 t. rc l w ^t x
Personally Known A or Produced Identification
Type of Identification Produced:
R]RiE
ic State of Flina Bowinssion GG 2otSLCPDS Revised 09/2022
this /3 day of 20�
by Rio%//�/Ny .�. 2.ara�yOo
Personally Known or Produced Identification
Type of Identification produced: A 2— Ic lL/0" LYL