HomeMy WebLinkAboutREQUIREMENT COMPLIANCE POOL - SPA - HOT TUBPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIRGROA AVE
FORTPIERCE,FL34M SCANNED
CM) 4624SS.4 Fax (778) 462-1S78 BY
AFFIDAVIT OF REQUIREMENT COMPLIANCE. Lucie County
Residential Swimming Pools, Spa, and Hot Tub Safety Act
PERbnT#
I (We) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at
�6Zl9 NW WCUFFE W AV and hereby affirm that one of the following methods
(Please print street address)
will be used to meet the requirements of Chapter 514 Florida Statutes: (Please initial the method used for pool.)
The pool will be isolated from access to the home by an andusme that meets the Pool barrier requir meats ofFlotida Statute 51529.
The pool will be equipped with an approved safety pool cover that complies with ASTM FI246-91(Standard performance Specifiraticas far
(� Safety Covers for Swimming Pools, Spas, and Hot Tubs).
t'f / All doors and windows providing direct access from the home to the pool will be equippedwithan exit alarm thmbas a minimummund
�cT pressmeratingafg5dea'belsatl0feet
All doors providing directaccess from thebome to the pool wfll he equipped with self closing, self hurting devices with n:lease mechanb ,as
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.
1 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 auoi,has been frmliaA.
4 the contractor, agree to instruct the owner of the proper use
2—;;�' r
CONTRACTOR SIG1)YATum
SPATE OF FLORIDA, COUNTY OF MALO J
N IY PUB11C
The foregoing instrument was acknowledged before me
this Z 5 day of F�--g
by �ULNJ k.11cP-)
Personalty Known '--� or Produced Identification
Type of Identification Produced:
?�d•., JULIE M SCALISE
;: M:
_ MY COMMISSION # GG091020
�'±:co EXPIRES Apri106, 2021
SLCPI)S Revised 07/222
rAa
SIGNATURE
SPATE OF FLO A, COUNTY OF MA"4l/N
NOT PUBLIC
The foregoing instrument was acknowledged before me
this 25 day of rf--g .201 S
by MA2.k DiCockLo
Personally Known__ or Produced Identification
Typeof ldentilloation produced: h,D L D2(0q-- 5 •76-jQ-0
s'•�;•. JULiE M SCALISe'
y- MY COMMISSION # GG091020
EXPIRES April 06, 2021