HomeMy WebLinkAboutREQUIREMENT COMPLIANCE - POOL - SPA - HOT TUBPLANNIN(;< & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
SCANNED 230OVIRGINIAAVE RECEIVED
FORT PIERCE, Ft. 34982
BY
(772)462-1553 Fax (772)462-1578
StludeCniintu AUG 2 6 9019
AFFIDAVIT OF REQUIREMENT COMPLIANC
Residential Swimming Pools, Spa, and Hot Tub Safet3 Alt Lucie County, Permitting
PERMIT # _ _ n6q-46 ra3 1
I (We) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at
330 NE SOLIDA DRIVE and hereby affirm that one of the following methods
—(Pleas"rinrstrectaddress)-
will bused to meet the requirements of Chapter 515, Florida Statutes: (Please initial the method used for pool.)
0 '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(Standard Performance Specifications for
Safety Covers for 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.
A0 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.
1 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. k
I, the contractor, agree to instruct the owner of the proper use and maintenance of such safey device.
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,21TR-7131•.i1�L•
ONTiER SIGNATURE Df dd�og4o �%' • � kw"'l
STATE OF FLORIDA, OUNTY OF---�7[ LQ./
NOTARY P I
The foregoing instrument was acknowledged before me The foregoing instrument was acknowledged before me
this I I day of /1 �� /} 20� this �r�dday oo�ff 1&4 [ 'A y , 20ff
by MAO A.a ��tW 1 by ' I e"JoY/� A k �lkd')'L
°,tplsr puee TAMMY LYNN UuOvmY
OMMISSI )N # FF 972176
Personally Known or Produced' t'ic�NMir �ersonally Known or Produced Identification
EXPIR : un 12, 2020
mr9rFo e�°p8ondedThre Oudget Notary Services
Type of Identification Produced: F Type of Identification produced:
SLCPDS Revised 07/2212014
201 �P�6l�n TAMMY LYNN DUDUAY
i MY COMMISSION # FF 972176
�EXPIRES: June 12,2020
��`OOF Ft°PBonded Thm Budget Notary Services
PLANK[ . & DEVELOPMENT SERVICES DErrn lTMENT
SCANN 'Wing and Code Regulations Division
2300 VIRGINIA AVE
BY FORT PIERCE, FL 34982 REC
S4. Lucie rhinh7 (772) 462-1553 Fax (772) 462-1578
AFFIDAVIT OF REQUIREMENT COMPLLA CE 6 21059
Residential Swimming Pools, Spa, and Hot Tub
PERK IT 1 \tIQ'ds1
I (We) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at
330 NE SOLIDA DRIVE 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.)
QfiV The pool will be isolated from access to the home by an enclosure that meets the pool baron requirements of Florida Statutc 515.29.
The pool will be equipped with an approved safety pool cover that complies with ASTM F1246-91(Sundard Performance Specifications for
Safety Covers for 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 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 finalized.
1, the contractor, agree to instruct the owner of the proper use and maintenance of such safety device.
r
OWNER SIGNATURE DiFd6Y491
STATE OF FLORIDA, OUNTY OF
NOTARY P I .
The foregoing instrument was acknowledged before me The forelg�oing instrument was acknowledged before me
this I I day of , 20� tthhis j�ddat-y of
!� y , 20ff
by IA4aI Pue TAMMYLY UGUAY y l� e bor1-a_.6Y - �1x°h,
p1P.... lid,
OMMISSION # FF 972176
Personally Known or Produced'1 pNMtF Dersonally Known or Produced Identification
FJ(PIR un 12, 2020
7sr6p BondedThm Budget Notary Services
Type of Identification Produced: Type of Identification produced:
SLCPDS Revised 07/22/2014
?OlPFV FL!e,c TAMMY LYNN DUGUAY
y MY COMMISSION.# FF 972176
g EXPIRES: June 12, 2020
9lFOF F>Ps` Bonded Thm Budget Notary Services