HomeMy WebLinkAboutREQUIREMENT COMPLIANCE - POOL - SPA - HOT TUBPLANNING & DEVELOPMENT SERVICES DEPARTIV ENT RECEIVED
Building and Code Regulations Division JUL I18 2019
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772)462-1553 I= (772) 462-1578 ST. Lucie County, Permitting
AFFIDAVIT OF REQUIREMENT COMPLIANCE SCANNER
Residential Swimming Pools, Spa, and Hot Tub Safety AM BY
PERMIT #
St. Lucie County
I (We) ac2knowjge= a n2 fs ming pool, spa, or hot tub will be constructed or installed at
`f 2 °, 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 F 1246-9 1 (Standard Performance Specifications for
Safety Covers for Swimming Pools, Spas, and Hot Tubs).
VAll doors and windows providing direct access from the home to the pool will be equipped with an exit alarm that has a minimum sound
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 finailzed.
I, the contractor, agree to instruct the owner of the proper use and maintenance of such safety d vice.
CONTRACTORSIGNA OWNER SIGNA
STATE OF FLOREDOUN ! �j�----_•'1�� CA UOI e
A, � � D `-�'c�. S 1'`S A � OF FL A, COUNTY OF
i MYCOMMIBS10:d#GOU2202'1 �o�µ;;;�[t, DANNA COLON
NOTARY PUBLIC , r* - r%?lKt:3' ,eP UndoM1Oca' y NOTARY PUBLIC c Commission # GG 250804
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The foregoing
before me
this _\�_dayof 5 J k�j .20A-1
by 4 & Ift Ck A C) 6 \ 4 t>
The foregoing instrument was acknowledged before me
this 1-1 day of 20L11-
by
Personally Known or ProducedIdentificationPersonally Known or Produlp"entif imtlon_V
Type of Identifimtion Produced: i `"'-b L— Type of identification produced: 'Pu �yL
SLCPDS Revised 07/22/2014