HomeMy WebLinkAboutREQUIREMENT COMPLIANCE - POOL - SPA - HOT TUBPLANNING & DEVELOPMENT SERVICES DErA:ATMENT
Building and Code Regulations Division
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 Fax (772) 462-1578
AFFIDAVIT OF REQUIREMENT COMPLIANCE
Residential Swimming Poolsi Spa, and Hot Tub Safety Act
N DR1u 11 Ri1
SCANNED
BY
St. Lucie County
I (We) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at
9201 SHANAS TRAIL PORT ST LUCIE FL 34952 and hereby affirm that one Of the following methods
(Please print street address)
11 be d 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.
A The pool will be equipped with an approved safety pool cover that complies with ASTM F1246-9 I (Standard Performance Specifications for
41��issurc
ety Covers for Swimming Pools, Spas, and Hot Tubs).
Aldoors and windows providing direct access from the home to the pool will be equipped with an exit alarm that has a minimum sound
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rating of 85decibels at 10 feet.
c•? i". 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 instr crtl a owner of the proper use and maintenance of such safety devi e.
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1
GONTRaCTOR w T'—(IRF3 OWNER SIGNATUIV
STATE OF FLORIDA, COUNTY OF T
Jv
NOTARY PUBLIC
The foregoing instrument was acknowledged before me
this day of FG b , 201 l
by L t r V-N(1,3
Personally Known or Produced Identification
Type of Identification Produced:
Mr 0 Notary Public State of Florida
SLCPDS Revised / A Thomasina Bowins
� Q My Commission -r 201733
a Expires 03129/2022
STATE OF FLORIDA, COUNTY OF IVI 0.y''1Y1
�( riv Gwyneth Ellyn Wood
NOTARY PUBLI ` ' •` ....,public, Slate of Flodda
':.i• Commission No. FF 988516
My Comm. Exp. May 6, 2020
The foregoing instrument was acknowle ge before me
this 21 day of FEBRUARY 20 19
by
Personally Known or Produced
Identification X Type of Identification produced:
/-: , az ,
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