HomeMy WebLinkAboutREQUIREMENT COMPLIANCE - POOL - SPA - HOT TUBPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIRGINIA AVE: RECEIVED
FORT PIERCE, FL 34982
(772) 462-1553 Fax (772) 462-1578 UG 08
:AUG 0.8 ?019
L
L uci C
AFFIDAVIT OF REQUIREMENT COMIPLIAN EST. Lucie :County, Perrr
Residential Swimming Pools, Spa, and Hot Tub Safe
PERMIT # By
I (We) acknowledge that a new swimming pooli spa, or hot tub will be constructed or installed at St Lucie COUTO
-67tcl 13LtAAwAw [—,'v GAff Rtag&, /1 :;Wo-t 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.)
_lx_ 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 FI 246 -9 1 (Standard Performance Specifications for
Safety Covers fbr 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 of 85decibels at 10 feet
All doors providing direct access 1I the home to the pool will be equipped with self closing, self latching devices with release mcchanisms
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.
CONTRACTOR SIGNATURE
STATE OF FLORIDA, COUNTY OF
NOTARY PUBLIC
The foregoing instrument was acknowledged before me
this — day of
by
Personally Known _ or Produced Identification
Type of Identification Produced:
SLCPDS Revised 07/22/2014
20
OWER SIGNATURE
STA E A, CO YOF
NOTARY PUBI:IC
The foregoing instrument was acknowledged before me
this ( 0 day of cL Zk �20
Ili
by I, ZcAl,�
Personally Known or Produced Identification
Type of Identification produced:
P% YAMMAKLUCINEC
my COMMISSION 0 GG 03373D
EXPIRES: Septeffibet 26.2D20