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HomeMy WebLinkAboutAFFIDAVIT REQUIREMENT COMPLIANCE - POOL - SPA - HOT TUBPLANNING & DEVELOPMENT SERVICES DEPARTMENT Building and Code Regulations Division 2300 VDtGINIA AVE SCANNED FORT PIERCE, FL 34982 BY (772) 4624553 Fax (772) 462-1578 St. Lucie County AFFIDAVIT OF REQUIREMENT COMPLIANCE Residential Swimming Pools, Spa, and Hot Tub Safety Act PERMrra I (We) acknowled a that a new swimming pool, spa, or hot tub will be constructed or installed at Sy� �- �+A'ru y IOAZ's 5t and hereby affirm that one of the following methods (Please print street address) will he 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 as enclosure that meets the pool bander requirements of Florida Statute 515.29. The pool will be equipped with an approved safety pool cover that complies with ASTM 171246A1(Slandard performance Specifications for Safety Covers for Swimming Pools, Spas, and Hot Tubs). owAll doors and windows providing direct s from the Lhom.e• to the pool will a equipped with an exit alarm that has a minimum sound pressure rating of 85dechbels at 10 feet L • i*le M 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 S4 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 PepMuicut 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 miner of the proper use and maintenance oVuch safety device. yui •G aPn CONTRACTOR SIGNATURE`14 ST TnE OF FLORmA, C U OF , V � L� N ARYPUBLIC The foregoing instrument was acknowledged before me this Z day of `F=}i�K�tr��t�p �, n .20 . by w acLe m Personally Known or Produced Identification Type of Identification Produced: Jtu6tldra A.h>Qlah�n NOTAFYPlJf1UC STATC OFFLORIDA Canufdl GG032559 SLCPD05-122a4* � siafitlzo OF FLORIDA, COON, LLL 04 L The foregoing (nstruZAJ acknowledged before me this dayof�/�/�20� by ! w,� IIli?,Al Personally Known or Produced Identificatlon Type of Identifiatio Jet .L, STATfiOF}t� ORIOyA • Can„Is(t GG03255,0 1 El�irey 3/8/2t32p