HomeMy WebLinkAboutREQUIREMENT COMPLIANCE - POOL - SPA - HOT TUBPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
VIRGINIA AVE
SCANNED
FORT PIERCE, FL 34982
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(772)462.1553 Far(772)462.1578
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AFFIDAVIT OF REQUMEMENT COMPLIANCE
Residential Swimming Pools, Spa, and Hot Tub Safety Act
PERMITS
I (We) acknowledge that a new pi te�n$g poQpd6(, s_pa, or hot tub will be constructed or installed at
—IDS Y (7Q1 /�1.� � (�CI }h- i'� rte RapIf hereby affirm that one of the following methods
(Please print streetAddress)
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 F1246-91(Stmdard Performance Specifications for
Safety Coven for Swimming Pools, Spas, and Hot Tubs).
XAll 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 f=L
All doors providing direct access from the home to the pool will be equipped with self closing set flatching devices with release mechanisms
placed no lower than 54 inches above the Door or deck
I understand that not having one of the above installed at the time of fund inspection, or when the pool is completed for contract
purposes, will constitute a violation of Chapter 515, FS., 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 SL Lucie County Building Inspections Department assumes no liability for the foal inspection of one of the
above protective devices, or the lack of maintenance, or the removal of each after the swimming pool has been frnafiad.
I, the
PUBLIC
the owner of the proper use and maintenance of such safety device.
%� �(�'ft� O GNATURE
v/" n STATE OF FLORIDA, COUNTY OF S•I- Lu u e
The foregoing instrument was acknowledged before me
this day of , 20J
by Urn 1 i"l
Personalty Known or Produced Identification
Type of Identification Produced: Y 0
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PETRONA PASCUAL
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Notary Public - Stale of Florida
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NOTARY PUBLIC
The foregoing instrument was acknowledged before me
this,O' day of sQ\y 2011
by SJlie Selt7Ih9er Me5k.w
Personally Known N or Produced Identification
Type of Identification produced:
PATRM A GWGN
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