HomeMy WebLinkAboutREQUIREMENT COMPLIANCE - POOL - SPA - HOT TUBPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIRGINIA AVE
FORT PIERCE, FL 34982 RecervEp
(772)462-1563 Fax(772)462-1578
FEB a s 2010
AFFIDAVIT OF REQUIREMENT COMPLIANCE-permining pa
Residential Swimming Pools, Spa, and Hot Tub Safety Act St Lucie County®nt
PERMIT 11 � � SCANNED
BY
I (We) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at St. Lucie County
�9'd 10 Dg"-!', Fes- 39 T a'6. 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.)
7.
� The pool will be isolated from access to the home by an enclosure that meets the pool barer requirements of Florida Statute 515.29.
The pool will he 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 windowsproviding direct access from the home to the pool will be equipped with an etdt 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 insta0ed 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.
1, the contractor, agree to instruct the owner of the proper use and maintenance of such safety device.
Q &�' Ab� 1-/1 e-A-
CONTkACTOR SIGNATURE (' OWNER SIGNATURE Ct,
STATE OF FLORIDA
�,COUNTY OF J � � � GL STATE OF FLORIDA, COUNTY OF
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QA.t rs ` - Yew i9ai1tn\6 .
NOTARY PUBLIC NOTARY PUBLIC
The foregoing instrumentwasacknowledged before me
this dayofll Cb r u\m 20 (9 ,
by �p LkLk6rrHM
Personally Known " or Produced Identification
Type of
BLANCA.L. SOSA
Notary Public - State of Florida
Commission M FF 962932
My Comm. Expires May 29, 2020
SLCPDS Revised
The foregoing instrument was acknowledged before me
this J+cp day of , 20-11_
by �Cv61t\v+r C�� F067N � cs%
Personalty Known or Produced Identification
Type of Identification produced: � L ?b- --
.+"iN:C%% DEANNA MARIE GNENS
My COMMISSION 0 GG 022023
Apo- EXPIRES: December 16, 2020
-'•%fold.,,.••' Bonded That Notary Public UMemafers