HomeMy WebLinkAboutREQUIREMENT COMPLICANCE - POOL - SPA - HOT TUBPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772)462-1553 Faa(772)462-1578
AFFIDAVIT OF REQUIREMENT COMPLIANCE
FEB 2 0 2019
Residential Swimming Pools, Spa, and Hot Tub Safety A 'Lucle Countv,lc„
PERMIT #
B
I (We) acknowledgQq that a new swimming pool, spa, or hot tub will be constructed or installed at St .RUC% Y CCUnt
1 �--YU041jA 5-i , and hereby affirm that one of the following methods
(Please;prim street address) Y
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 515.29.
The pool will be equipped with an approved safety pool cover that complies with ASTM F1246-91(Standard Performance Specifications for
1[n Safety Covers for Swimming Pools, Spas, and Hot Tubs).
✓ All doors and windows providing direct access from the home to the poolAAAweeeill be equipped with an exit alarm that bas a minimum sound
pressure rating of 85decibels at 10 feet��v L Q U Ari> ,/yl,ppM
All doom 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, wlll.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 CountyBuilding 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 maintenanc rof such safety device.
CONTRACTOR SIGNATURE OWNER SIGNATURE
ST OF FLORIDA, CO r 54-1 LI—Ct_ti
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Nolky
PUBLIC
The foregoing instrumen{t/y!(p acknowledged before me (,
this ' '� day of ! "rJ 20 I .
by
Personally Known or Produced Identification
Type of Identification Prq#*Vd*' dr?ssneirt!
' I NUTARYPUdLtC
'�«•" `,?." l,,2 STATE OF FLORIDA
' wp° �...;� yf 7 CMVW 00032559
"r415 E41r" 3/9/2020
SLCPDS Revised 07/222014
ST OF FLORIDA. COUN OF `4 '�w`�• e�
Asi
NOTARY P B IC
The foregoing instrument was acknowledged before me
this I ';_ dayof
e- / . 20 [ 5
by e � L
Personally Known `� or Produced Identification
9*fes
ra a hlg�glt
Type of Identification pro*10" —
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3/9/2020