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REQUIREMENT COMPLIANCE - POOL-SPA-HOT TUB
i� _ PLANNING & DEVELOPMENT SERVICES DEPARTMENT Building and Code Regulations Division 2300 VIRGINIA AVE I�' FORT PIERCE, FL 3498E SCANNED (772) 462.159 Fax (772) 462-1578 BY AFFIDAVIT OF REQUIREMENT COMPLIANCE St. Lucie County Residential Swimming Pools; Spa, and Hot Tub Safety Act PERMIT a I (We) acknowledge that anew swimming pool, spa, or hot tub will he constructed or installed at 7982 Steeplechase Ct, Port Saint Lucie, FL 34986 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) jGy_ The pool will be isolated from access to the home by an enclosum 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 ASTM F1246-91(Standard Performance Specifications for Safety 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 of85decibeis 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 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. 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 ftnalbocd.- I, the contractor, agree to instruct the owner of the COUNTY OF The fo'lpeg�1oing instrument.was ackno�wledgeged before me this 1 day of% ItrKit .20R by )AMES T LEONARD Personally Known _Xor Produced Identification Type of Identification Produced: of such safety device. CATERIGNATURE - - ATE OF FLORIDA, COUNTY OF T//J N ARY PUBLIC The foregoing instrument was rackknowledged before me n this 19 day of yD20L,7 by jFaGL a Personally Known or Produced Identification Type of Identification produced: ::;AbGE_A 40RSG71-31RkInGHaM ,t�s" rlotatY PubGeSWecf Florida �� �':- Notan sci,ic - State of Florida ( L06 A MOxley COW- '�«w�My 12& OG 2a014a ' GG Z49625 rM-11RM022 SLCPDSR setl.071=01W Comm. Expires A,n 16.2022 Sorded thro_,•h Satiora: notary Assn. t. no PLANNING & DEVELOPMENT SERVICES DEPARTMENT ° W Building and Code Regulations Division 2300 VIRGINIA AVE RECEIVED FORT PIERCE, FL 34982 (772) 462-1553 Fax (772) 462-1578 JUN 0 6 2019 AFFIDAVIT OF REQUIREMENT COMPLIANCE permitting Department Residential Swimming Pools, Spa, and Hot Tub Safety Act St. Lucie county PERMIT # 0 SCANNED I (We) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at St. Lucie County -%as% CT , 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.) be 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 ASTM F1246-9l(Standard Performance Specifications for Safety 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 of85decibels 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 flues up to $500.00 and/or up to 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. I, the contractor, agree to instruct the owner of the proper use and maintenance of such safety device. � n7:r-� CONTRACTOR SIGNATURE A/&A� vbIGNATURE STATE OF FLORIDA, COUNTY OF STATE STATE OF FLORIDA, COUNTY OF[y'/�T�� NOT PUBLIC �� NOT�dd Y PUBLIC PUBLIC The foregoing instrument was acknowledged before me this Zday of �L%%e , 20 byef¢—�-Tlcrrr✓/he� Pe nally Known or Produced Identification Type of Identification Produced: Puoac 'am, of Floddn Lori A Moxley p+ my compassion GG 2 00148 3h�di Expire; 11Ra2n22 SLCPDS Revised The foregoing instrument was acknowledged before me this ` day o/ff / `\Il/�e 120 by'T©�//!/ / o457z&z %f%lvl rsonally Know or Produced Identification Type of Identification produced: rP % Notary PUbSc Stem of Flodde Lod A Motley V_ d'� hM ComNoYm GG 280148 or w Expire+ 1 V28/1022