HomeMy WebLinkAboutREQUIREMENT COMPLIANCE - POOLS - SPA - HOT TUBPLANNING & DEVELOPMENT SERVICES DEPAkiMENT'Cq%
Building and Code Regulations Division
2300 VIRGINIA AVE �4�'70 y
FOR 772 462.15 334982
(COvh
RECEIVED
AFFIDAVIT OF REQUIREMENT COMP CE
Residential Swimming Pools, Spa, and Hot Tub SafetyPE4 13 I099
PERMIT# ST. Lucke COUOt`�; 1—WaLIZ-1
I e)�kno edge that a new swl+�ming pool, spa, or hot tub will be constructed or installed at
//yj �J /j • 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.)
y] �— The pool will be isolated from access to the home by an enclosure that meets the pool barrier requirements of Florida Statute 515.29.
ZlT The pool will be equipped with an approved safely pool cover that complies with ASTM PI 246.91(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 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 $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 maintenance of such safety device.
v \
CONTRACTOR SIGNATURE
AF FLO DA, OU OF -
i
N TARY PUBLI
The foregoing instrument
was acknowledged before me
oi
this O day of d 1 20
by'Aa C!SE U N�
Personally Known —�D— or Produced Identification
Type of Identification Produced:
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SLCPDS Revised 04/11/201
o`
��0/PLOP\
SHERRI FEHLMAN
Commhslon# GG 181160
Expires March 14,A22
adKq ihw aCepel Notary StrMce9
�C�a a°"rri`c
OWNER SIGNATURE .�
STA O RIDA, CO TY OF
NOTARY P ` C
The foregoing instrument was acknowledged before me
this j V inday of
by 2),-�
Personally Known or Produced Identification
Type of Identification produced:
rOtNlvabBGc
SHERRI FEHLMAN
've,
Commission # GG 187160
I,�
Expires March 14, 2022
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PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772)462-1553 Fax (772) 462-1578
AFFIDAVIT OF REQUIREMENT COMPLIANCE •
estdeatisl SwimntijiPoo S a, and of Tab Safe et
PERMIT #
SCgN
St Cps/ec h�
ty
I (We) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at
Zy to $ m:n: ))a.
Fora- Peree t p and hereby affirm that one of the following methods
(Please print street address)
will he 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 on 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 F 1246-9 1 (Standard Performance Specifications for
Safety Covers for Swimming Penis, 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
11J pressure rating of 85decibels at 10 feet.
611f All doors providing direct access from the home to the pool will be equipped with self closing, self latching devices with release mechanisms
placed an lowcrthan 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 Rnallmd.
irec to i met the owner of the proper use and maintenance of such safety device.
;NATURE OWNER SIGNATURE ' ' A, COUNTY OF Li,LL,IP STATE OF FLORIDA, COUNTY OF ' Wide —
CRYSTAL Y al3une
EXPIRES July 24, 2021
--- •-•-6•••••a-• ea ea o ore me ��77
this day of GLfI 20 `-1
by —�
Pe ono or Produced identification
Type of Identification Produced:
SLCPDS Revised 07/222014
Mr LoOMMISSION # GGt 27618
instrumentw sn c�Cn'ow9e�ged tore me
this day of.
by
Produced Identification
Type of Identification produced: