HomeMy WebLinkAboutREQUIREMENT COMPLIANCE - POOL, SPA, HOT TUBi
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,9 PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIRGINIAAVE
FORT PIERCE, FL 34992
(772) 462-15Si F" (772) 462-1579
AFFIDAVIT OF REQUIREMENT COMPLIANCE
Residential Swimming Pools, Spa, and Hot Tub Safety Act SCANNED
PERMIT 0 BY
I (We) acknowledge that a new swinunin I St, Lucie County
g pool, spa, or hot tab will be constructed or installed at
L4-a 2E2 y P[+csg and hereby affirm that one of the following methods
(Please print street address),
will be used 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 molosum that meets the pool barrierrequhements of Florida Statute 515.29.
The pool will be equipped with an approved safety pool cover that complies with ASTM F124691(Stsndard Performance Specifications far
Safety Covers for Swimming pools, Spas, and Hot Tubs).
An doors and windows providing direct access hots the home to the pool will be equipped with an exit almm that has a minimum sound
pressure rating of 85dem"bels 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
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 fates up to S500.00 and/or up to 60 days in jail as established in chapter 775, F.S.
I understand that the St Lucie County Building Laspections 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.
CONTRACTORSIGN TORE
SPATE OF FLORIDA, COUNTY OF 4 T . U C I�
NOTARY PUBLIC
The foregoing instrument was acknowledged before me
this —LLday of e,� , 20 I q
by a r f
Personally Known or Produced Identification
Type of Identification Produced:
P'4a.
XREJ
Notarytate of F
sowinsloridaes GG 201733SLCPDS Bevis 022
OWNERrSIGNATURE `` /
STATE OFFLORIDA,COUNTYOF �/.
r
911N—O�Ty
PUBLIC
The foregoing instrument was acknowledged before me
this l STdayof I..J tEC .20
by =Ind G2Ly / O XGL/Persown �or Produced Identification
Type of Identification produced:
i.+...... JOANNEWILLS
Commission k FF 188304
Expires February 20, 2019
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