HomeMy WebLinkAboutREQUIREMENT COMPLIANCE - SPA - POOL - HOT TUBPLANNING & DEVELOPMENT SERVICES DEPAk.tMENT
Building and Code Regulations Division
2300 VIRGINIA AVE
FORT PIERCE, FL34982LCE
CEIVED
(772) 4621553
1 7 2019
AFFIDAVIT OF REQUIREMENT COMPLResidential Swimming Pools, Spa, and Hot Tub ounty, P iD
PERMIT# Y`�6—���� BY
St. Lucie Count -
a 1% a%;9 ledge that a new swimming p ,spa, or hot tub will be constructed or installed at
�f_�'? Q�j yyj�lf/171% !V. 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 enclosure that meets the pool barrier requirements of Florida Statute 51529.
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).
Ilk 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.
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 finalized.
I, the contractor, agree to instruct the owner of the proper use and maintenance of such safety device.
The foregoing instrument was acknowledged before me
this day of 20�
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bylee-A":� Qy�i�CJ
Personally Known —�e— or Produced Identification
Type of Identification Produced:
GHERRI o � F OammUtla FERMM100
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SLCPDS Revised 04/11/2011 �; - 6¢ �Itphas March 14.20
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OWNER SIGNATURE
NOTARY
The foregoing instrument was acknowledged before me
this, 1— day of AA14VI
/ 20
by Ile,
Personally Known or Produced Identification
Type of Identification produced: l// V
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SHERRIFEHLMAN
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Expires Marsh 14, 2022
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PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIRGINIA AVE ° tc
FORT PIERCE, FL34982
(772) 462-1553 IGCP�OP O O
AFFIDAVIT OF REQUIREMENT COMPLIANCE
Residential Swimming Pools, Spa, and Hot Tub Safety Act NE®
PERMIT# / / T BY
St. LucieCounty
I (We) ac"ledge that a new swimming pool, s a, or hot tub will be constructed or installed at
�� 13 Xj)e k rM i �M 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 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 171246-91(Standard Performance Specifications for
Safety Covers for Swimming Pools, Spas, and Hot Tubs).
<i 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".
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 finalized.
I, the contractor, agree to instruct the owner of the proper use and maintenance of such safety device.
y l /�/' 102 4Z
CONTRACTOR SIGNATURE
OF FLORI OU 017
TARY PU
The foregoing instrument was
/acknowledged before me
this 'day of / V (J V 204
by, GQ�9—/l1L/C_L
Personally Known \4 or Produced Identification
Type of Identification Produced:
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SLCPDS Revised 04/11/2011v
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SHERRI FEHLWN
CommlWon# GG 187160
Expires March 14.2022
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OWNER SIGNATURE
The foregoing instrument was acknowledged before me
this /day of i[% /Af _ 20D/ 5
by / �7 �s —A2
Personally Known_)&r Produced Identification
Type of Identification produced:
O'kRY Py
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SHERRI
Commission
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# GG 187160
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