HomeMy WebLinkAboutREQUIREMENT COMPLIANCE - POOL, SPA, HOT TUBPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VrRGINIA AYE
FORT PIERCE, FL 34992
(772) 4624553 Fos (772) 4624578
AFFIDAVIT OF REQUIREMENT COMPLIANCE
Residential Swimming Pools, Spa, and Hot Tub Safety Act
PERMIT #
SCANNED
BY
St. Lucie County
I (We) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at
S57 a 8 t4Lc11 es,) A/P (—.14 and hereby affirm that one of the following methods
(Please prim street address)_
will, be used to meet the requirements of Chapter 515, Florida Statutes: (Please initial the method used for pool.)
V The pool will be isolated from access to the home by as enclosua: that mects the pool barrier requirements of Florida Statute 515.29.
The pool will be equipped with an approved safety pool cover that complies with ASTMFI246-91(Smndard Performance Specifications for
Safety Covers for Swimming Pools, Spas, andAot Tubs).
All doors and windows providing direct access from the home to the pool will be equipped with an exit ala® that has a minimum sound
pressure rating of 95decibels at 10 feet
All doors providing direct access from the hometo 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 Lude 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.
�NTRACTO - NATURE: 1 1
STATE OF FLORIDA. COUNTY OF
NOTARY PUBLIC
The foregoing instrument was acknowledged before me
this _day of S-e i� + . 20_S�
by Te lffJ V. X
Personally Known X or Produced Identification
Type of Identification Produced:
Notary Public State of Florida
A Thornasina Bowins
4cm rely Commission GG 201,
SLCPDS Revised 07 Fxpms 03/2sr2022
OWNER TIIRE }/�/ /
E OF FLORIDA, COUNTY OF C5/
.I�Oo
NOTARY PUBLIC
The foregoing instrument was acknowledged before me
this �� day of ()& f, , 20Z
by
Personally Known or Produced Identification
Type of Identification produced:
""29,•,
JOANNEWILLS
,_
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Commissien # FF 188304z.g-
Expires February 20, 2019Q�t\Q`•
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