HomeMy WebLinkAboutREQUIREMENT COMPLIANCE - POOL - SPA - HOT TUB7
V
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
22110 VmCmIA Ave
FORT PIERCE, FL34982
(771)40-1551 Fm(M)40.1579
AFFIDAVIT OF REQUIREMENT COMPLIANCE
Residential Swimming Pools, Spa, and Not Tub Safety Act
I 139e) achomvledge that a nen, mvi atiug pool, spa, or hat tab will he constructed or installed et
"L=%1&Za2AHr•" rrur error it-1_-yFHL_ d hereby aIDrm that one or the following methods
wtevae pd latrattuddrem)
will be eased to meet the requirements of Chapter 515, Flarldn Statutes: (Please Initial the method used for pool.)
Thepud mll be belated rmm wmss la the hone by.. cnd¢aae do meats dnpeel h Mumgg1m=nn6rFl- id-Swtme51529.
The pool rvi0 be equipped pith on aPp d Melt Paol rover Wadwmp0m with ASTM FI24a411(Slmdmd Pmfmmnce Spec(0m0om far
Solely Coven far Ssvivmdng Peeb. Slats, and Hat TO,).
AO daonwd windmva praddiegdirettacass(mmlhe homem lhapwl m716e equippW tWlh¢n eplaWmlhu hmombdmum eased
pressure mdng a(e5dedbds ¢I la feel
All damaprovlding dhrnaccen boo Ne ham¢ty goo peel Will he gWpmdaiihmirdasing, selflwching deviom vidi release mecMNays
pivmd w Imvvtluv 54 inches obpveM aamm deck.
1 understand that not having one ofthe above imtalled at the time of real Inspection, or when the pool is completed for eoatmat
purpmr5, will comtimte a violation of Chapter 515, FS, and Will be considered as eammltting a misdemeanor orthesevand degree,
punishable by fines up to 5500.00 andlor up to 60 days in jail as established In chapter775, F.S.
1 undentand that the St. Lade County auihliog Impmtims Deparho nt assume, uo liability for the Mal inspection ofone of the
above protective devicm, or the Inch of maintename, or the remaval ofsueh afar theswimming pool has been tioalbed.
The fact ipa fosW t svm ocbnmvledged hefine mo
thh dayof t ,30
by
Penonelly Known arRoducudldenOnradap
Type of IdmUUration Praduced:
SLCP11S deviled 07=014
The foreg(o�tn1g,� t was nchno si dged(bbefore me
this O .day of r 20A
by
Personally Known,_ or Produced Idmtlfimticn
TRACEY W. WCGHEE
lWeelldmtllitatian STBATTE jOr FPFLORIDA IC P"�Corn8EE120736
X010/2015�IJf910E81
SCANNED
BY
St. Lucie County