HomeMy WebLinkAboutREQUIREMENT COMPLIANCE - POOL - SPA - HOT TUBl
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PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
® FORT PIERCE, FL34982 �ByNED
(772) 462-1553 ��
We
AFFIDAVIT OF REQUIREMENT COMPLIANCE C®un�p✓
Residential Swimming Pools, Spa, and Hot Tub Safety Act
PERMIT#
Ie) acknow dge that a ne wimming pool, spa, or hot tub will be constructed or installed at
AS /ye A— Otter Y- l 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 51529.
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 85declbels 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.
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 $5G0.00 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 use and maintenance of such safety device.
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CONTRACTORSIGNATURE CZ Z ,
STA F FLORIDA, OF
NO ARY PUBLI
The foregoing instrument was acknowledged before me
this day of cl-/1 ,,. 20j—%
Personally Known 4-1 or Produced Identification
Type of Identification Produced:
R
SLCPDS Revised 04/11/20<
or
SHERRI FEHLMAN
Commission # GG 187160
Expires March 14, 2022
Bonded Thra B^d xmary rArAM
OWNER SIGNATURE
ST F FLORID U rY OF
NOTARY
The foregoing instrument was acknowledged before me
this - day of � 36 in 20-L!�
by -77 r v,
Personally Known_ or Produced Identification
Type of Identification produced:
vRY°ae
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a° .......
SHERRI FEHLMAN
Commiss(on # GG 187160
Expires March 14, 2022
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