HomeMy WebLinkAboutAFFIDAVIT COMPLIANCE - POOL - SPA - HOT TUBPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIRGDVIAAVE
FORT PIERCE, FL 349U SCANNED
(772)462-1553 Fax CM)1462-1578 By
AFFIDAVIT OF REQUIREMENT COMPLIANCE_ St. Lucie COunty
Residential Swimming Pools, Spa, and Hot Tub Safety Act
PERbur#
I (We) acknowledge that a new swimming pool, spa, or hot tab will be constructed or installed at
a1i Q /toll4F9L b¢. &P-7 171E1fCE- (L 3 (14151 and hereby alarm that one of the following methods
(Please print street address)
will be used to meet the requirements of Chapter 51% Florida Statutes: (Please initial the method used for pool.)
The pod will be isolated hum access to the home by an enclosure that meets the poolbanierrequrtements of Florida Stab de 51529.
Thapool will be equipped with an approved safely pool cover that complies with ASTM F1246-91(Standard Perfasmance Specifications; far
Safety Covets fur Swimmieg Pools. Spas, and Hot Tubs).
All doers and windows providing direct access from the heme to the pool will be equippd vilhan edt alarm that has a minimum sound
pressure rating of 85decibels at 10 feet
All doors providing directaoxess from the home to the pool will be equipped with self dosing, self latching devices with release meebamams
placed an lowerthan 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 tines up to S500.00 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 dev1I
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coNTRAcT6Rsir.NATVkE OIYNERSIGNATURE
STATE OF FLO A, COUNTY OF MA2Ti>+� STATEOFFLORIDCOUNTYOF MA21 �'v
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P�YARY PUa OTARY PbHUC
The foregoing instrument was acknowledged before me
this, L1 /,td�a�yof A%�(%^ -) .20
by V� N ��%/W
Personally Known ✓ ar Produced Identification
Type of Identification Produced:
^'w JULIE M SCALISE
' - MY COMMISSION # GG091020
g•y
EXPIRES April 06, 2021
SLCPDS Revised 071=014
The foregoing Instrument was acknowledged before me
this gday of P 0 U .20j L_
by j9"q FousT
Personalty Known or Produced Identification
Type of Identification produced: I'ce/V (ALL
JULIEWSCALISE
^. c MY COMMISSION # GG091020
';'�;s EXPIRES April 06, 2021