HomeMy WebLinkAboutREQUIREMENT COMPLIANCE - POOL - SPA - HOT TUBPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIRGINIA AVE r�
FORT PIERCE, FL'34982 SCAB
M2) 462-15S3 Fax (772) 462-1578 ��40
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AFFIDAVIT OF REQUIREMENT COMPLIANCE LUci
Residential Swimming Pools, Spa, and Hot Tub Safety Act
I (We) acknow d e that a w swimming pool, spa, or hot tub will be constructed or installed at
ID 01 % 4 TQ. . 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 p`oul will be isolated &tir i access to the btiole by ad e`dclosufe that hfects'the p'tioI liariier 1equile—meu'fs of Fk ida Statute51529.
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).
JL All doors and windows providing direct ac from the home to the pool will be equipped with an exit alarm that has a minimum sound
pressure rating of85decibels at l0 feet. 1 /.y1p,05
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 contractor, agree to instruct the owner of the proper use and
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L�ONTRACTOR SIGNATURE
ST OF FI.ORmA, CO F.
NfkYPUBLIC
The foregoing instrument
was acknowledged before me
this /day, or ,J,, �=t� n , n , 20
by I J L(J�X.. m �--w-L✓V�K.
Personalty Known 1/ or Produced Identification
Type of ldentificatio � cera0.ln9
N
"'' ^++TOTE OF FLORIDA
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SLCPDS Revised 07122R014
of such safety device.
OjYNER�SIGNATURE .Q
/STATE FLORIDA, COUNTY OF
TARY PUBLIC
The foregoing instrument was acknowledged before me
this day or �x lam__ , 201 �
by�
Personally Known U or Produced Identification
Ingraham
Type of Identification producfW
STATE OF FLOBIDA
+ Camirttk00032559'.
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