HomeMy WebLinkAboutREQUIREMENT COMPLIANCE - POOL - SPA - HOT TUBPLANNING & DEVELOPMENT SERVICES DEPARTMENT SCANNEL)
BY
° • Building and Code Regulations Division �Q, Lucie COUiI$y
2300 VIRG[NIA AVE
FORT PIERCE, FL 3498E
(772)462-IM Pax(772) 462_1578Cct
EIVED
AFFIDAVIT OF REQUIREMENT COWLIAN10 2019
Residential Swimming Pools, Spa, and Hot Tub Safenty, Permitting
PERMIT 0_ _
I (We) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at
4,4 W-, //, /E 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.)
YbeThe pool will be isolated from seem to the home by an enclosure that meets the pool barrier requirements of Florida Statute 515.29.
The pool will be equipped with m approved safety pool cover that complies with ASTMF1246-91(Standard Performance Specifications for
Safety Coven for Swimming Pools, Spas, and Hot Tubs).
AD doors and wiadows providing direct access from the home to the pool Will be equipped with an exit alarm that has a minimum sound
pressure rating of 85dembels at 10 feet.
Ali doers providing direct access from the homcto the pool will be equipped with self closing, self latching devices withrelease mechanisms
planedno lowerthan 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 andfor up to 60 days in jail as established in chapter 775, F.S.
I understand that the SL 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.
1, the contractor, agree to instruct the owner of the proper use and maintenance of such safety device.
'(OWNER
CONTRACTOR
SIGNATURE
SIGNATURE
LL
STATE OF FLORIDA, COUNTY OF T, LUG( Q.
STATE OFfLORIDA, COUNTY OF
NOTARY PUBLIC
—
'NOTARY JPUBLIC
PUBLIC
The foregoing instrument was acknowledged before me
this day of J U �¢ . . 2011-1
by �L Y` r
Personally Known t or Produced Identification
Type of Identification Produced:
Jos
SLCPDS Revised 07
NotaryPublic SUte of Florida
ATheme Ina Bovnns�. MyCommission GG 201733rP Erpues 0312lig.
The foregoing instrument was acknowledged before me
this_Aday of A4 20
by / �l i GlGEs
Personally Known or Produced identification
—
Type of identification produced:
JMNEWUS
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