HomeMy WebLinkAboutREQUIREMENT COMPLIANCE AFFIDAVITST. LUCIE COUNTY
BOARD OF COUNTY COMMISSIONERS
23W..VIRGINIA AVENUE, Fr. PIERCE, FL34982 .
PERMIT#
Residential Swimming Pools, Spa, and Hot Tub Safety Act
AFFIDAVIT OF REQUIREMENT COMPLIANCE
I (We) acknowledge that as new swii/mminn. pool, Spa, or ]lot tub will be constructed or installed at Z — �VKEJ
TL c3T"/n / and hereby affirm that one of the following methods will be ..
(Please Mal Street Ad s) -' SCANNED
used to meet the r quirements of Chapter 515, Florida statutes. (please initial the methods) used for our pool)
St. Luce County
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 177346-91 (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 85 decibels 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 place no lower than 54" 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 consid-
ered 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.
CONTRACTOR'S SIGNATURE DAB b3-31-yb
OWN R'S SIGNATURE DATE
NOTARY PUBLIC, STATE OF FL.
AS TO CONTRACTOR
PERSONALLY KNOWN_ f
PRODUCEDID
TYPE
a�a� `-m' ,!r;,,,,b
NOTARY PUBLIC, STATE OF FL.
AS TO OWNER
PERSONALLY KNOWN
PRODUCED ID ✓
nww••.nunn•.. �lmFpN•MUSTDESUaMt71EDWITHALLPOOVSPM10T7UafLAY .610d•..............
PATRN M. GIUNTA NTA . espYNtc awsteo3
XWYtu(Bo)♦32I2$4i WMtWo32o4354':
t'IaiLo P[cUn' Ayn. Inc
•uu.....•.......FbM....?n Au: '1::S.ii coma.u.•uuu.........................