HomeMy WebLinkAboutREQUIREMENT COMPLIANCE - POOLS - SPA - HOT TUB� � f
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
B^�u�illtId''ippn'�g and Code Regulations Division
SICAN tlED FORT PIERCE, FL 34982
SY (772)4611593 FUM2)462-1578 RECE VED
St. Lucie Co���
AFFIDAVINhEQUIREMENT COMPLIANCE APR 1 2019
Residential Swimming Pools, Spa, and Hot Tub Safety A t
ST. Lucie Couni y, Permitting
PERMIT N
I (We) acknowledge that new swimming pool, spa, or hot tub will be constructed or installed at
12739 Refuge Lane, Jensen Beach F134957 and hereby affirm that one of the following metho�
(Please print street address)
will be used to meet the requirements of Chapter 515, Florida Statutes: (Please initial.the method usedYor poPl.) '
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 ASTbi F1246-91(Standard Performance Specific lions for
Safety Corers for Swimming Pools, Spas,. and Hot Tubs).
XAll doors and windows providing direct access from the home to the pool will be equipped with an exit alarm that has a minimum and
pressure rating of85dccibels at 10fen.
All doors providing direct access from the home to the pool will be equipped with self closing, self latching devices with release ml clianisms
placed no lower than 54 inches above the floor or deck
1 understand that not having one of the above installed at the time or final inspection, or when the pool is completed for cdntract
purposes, Bill constitute a violation of Chapter 515, F.S., and swill be considered as committing a misdemeanor of the secopit degree,
punishable by fines up to $500.00 and/or up io 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 Conti r, agr ot
instruct the owner of the proper use and maintenance of such safety device.
CO\TRACT SIGNATURE 1 ,OWNER SIGNATURE (�
STATE OF FLOR OUNTY OF —,P f7 ` Z STATE OF FL NTV OF
NOTARN - B C (N9TARY PUBLIC
The foregoing instrument was acknowledged before me
this _\�__day of - i- 20A�
by �e,Y� b P
Personally Known L or Produced identification
Type of Identification Produced:
,SLCPDS Revised 07122/2014ffm
CHa0C00Klic-State of FloridasionRGG015422
&pireslul25, 2020h
Nadoral Nata,y Aa se,
The foregoing instrument was acknowledged befit
this IA .dayof_&{'6
Personally Known or Produced
Type of Identification produced: —ki
ANTONIO ALTRECHE
1• ,C
Notary Public -State of Florida
�
920338
�%,q.LTg"�'�
My Comm. Expires Dec
113 201 E