HomeMy WebLinkAboutAFFIDAVIT - REQUIREMENT COMPLIANCE - POOL - SPA - HOT TUBPERMIT #
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772)462-1553 Fax (772) 462-1578
RECEIVED
AFFIDAVIT OF REQUIREMENT COMP JANCE
Residential Swimming Pools, Spa, and Hot Tu Safet�lk5t 15 119
ST. Lucie County, Permitting
I (We)acknowledgethat a new swimming pool_, spa, or hot tub willbe.constructed or installed at- - - -
rYi'S�n LL{r G( 4r 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(Smndard Performance Specifications for
11 Safety Covers Tor Swimming Pool's, Spas, and HO-tTobs). I . . ' ' ' - - - '.
%C 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 of85decibels 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 flues 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. pg d�ryn'�
I, the contractor, agree to instruct the owner of the proper use and maintena such safety device. SIdPINNED
BY
C T�(/ L
C�R-SIG AT �p� 3UIVIVERTSGNATUI_��
STATE OF FLORIDA JRO OF ! % (N 1A_ STATE OF FLORIDfOU
NXY �Kenneth Nunez
Kenneth SIVCE
NOTARY PUBLIC
NOTARY PUBLIC nSSTATE OF FLORIDA
NOTARY BLIC �STATEOF FLORIDA NOTARY PUBLICa�, Comm# FF94835Comm# FF940352
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The foregoing instrument was acI&rW@%geAM95ne I The foregoing instrument was acknowledged before me
this 1 A�L,^, day of
// ���3� , 20/ this O� day of /Ikv 20 /-V
by /' ` 1 /t/T tr V 1 *ii(_ by _ fi°`�G.c. � &It t7 °7
Personally Known ar Produced Identification Personally Known or Produced Identification
Type of Identification Produced: Type of Identification produced:
SLCPDS Revised 07/22/2014