HomeMy WebLinkAboutREQUIREMENT COMPLIANCE - POOL - SPA - HOT TUBt� PLANNING &IEVELOPMENT SERVICES DEPAOMENT
Building and Code Regulations Division 2300 VIRGINIA AVE SCANNED
FORT PIERCE, FL 34982 Y V!at'
(772) 462-1553 St. Lucie County
AFFIDAVIT OF REQUIREMENT COMPLIANCE
Residential Swimming Pools, Spa, and Hot Tub Safety Act RECEIVED
PERMIT H
MAY 0 9 pig
[ (We) acknowledge t t a ne}� s rmming po , spa, or hottqb will be constructed or installed IatST• Lucie County, Permitting
tL0 tr "\ ''X—i�. ��9and 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.)
f/ 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 pop I -will be equipped with an approved safety pool cover that complies with ASTM FI 246-91 (Standard Performance Specifications for
$af€ty Covers for Swimming Pools, Spas, and Hot Tubs).
All doors and windows providing direct access from the home to the pool will be equipped with an exit alarm that has a minimum sound
pressure rating of 85decibels 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.
Swimming pool alarm placed in pool meeting ASTM F2208
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 $50D.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 pool has been finalized.
I, the contractor, agree to truct the owner of the proper use and maintenance of such safety device.
q��
C N OR SIGN UR OWNER SIGNATURE
STATE OF FLORIDA, COUNTY OFSN.
NOTARY PUBLIC
The foregoing instrument was acknowledged before me
this `�'\ day ofW�6.1 20�1
STATE OF FLORIDA, COUNTY OF
NOTARY PUBLIC
The foregoing instrument was acknowledged before me
this day of , 20
by ha64All d ''at 5by
Personally Known or Produced Identification II%LA t_
Type of Identification Produced:
NVS ^',%"-'" My COMIASSION 11 GG 022023
`` •; '�`- EXPIRES: December 16, 2020
SLCPDS 2vi5 N2019Z nnn Notarl Public Onderiaitars
Personally Known or Produced Identification
Type of Identification produced:
Planning & Development Services Department
Residential Pool Permit Checklist
When applying for a residential pool permit use the following checklist.
Building Permit
1
A completely filled out building permit application'shall be
Application
submitted, including all required information. The
application shall be signed by the applicant(s) and the
signatures shall be notarized. If the applicant is the
contractor/qualifier, the application requires 2 signatures. -
Notice of Commencement
1
A recorded Notice of Commencement for all construction
with a value exceeding $2,500 shall be submitted prior to
first inspection.
Construction Plans
2 sets
All proposed construction must be accurately shown on the
plans including but not limited to electrical wiring,
plumbing, and pool equipment detail. Both sets of plans
shall be signed and sealed by a Florida registered engineer.
Plot Plans/Surveys
2
2 Scaled Plots Plans with all dimensions of pool and deck
area. Include location of pool equipment. Show setbacks
of the pool/deck to all property lines and location of all
existing structures. Form -board survey shall be required
for poured concrete decks. Final survey shall be
required for paver decks.
Vegetation Removal Permit
1
A completely filled out vegetation removal application must
be submitted with the building permit application. Please
include one (1) survey or site plan, for review by the
Environmental Resource Department. A specific plan
for tree removal and preservation is required if
applicable. '
Subcontractor Agreement
1 each
One subcontractor agreement with original signature is
required for each subcontractor on the job. The building
permit cannot be issued until it has been determined that all
subcontractors are properly licensed and registered. The
use of unlicensed contractors is strictly prohibited.
Filled Land Affidavit
1
This form is required for all construction, except for
interior renovation. It shall bear the original notarized
signature of the property owner. This affidavit serves to
notify the property owner of their responsibility not to
adversely impact their neighbor's properties with
stornwater drainage and runoff.
Pool Alarm Affidavit
1
Indicate the type of barrier/alarm. Shall be signed by
property owner and notarized.
****An Application for a Pool Permit shall not be accepted without a Pool Enclosure permit application
and plans or a fence permit, (or proof of existing fence enclosing proposed pool area).
Revised 3/1&7011