HomeMy WebLinkAboutREQUIREMENT COMPLIANCE - POOL - SPA - HOT TUBPLANNING & DEVELOPMENT SERVICES
Building and Code Regulations Division
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772)467,1553 Fax (772) 462-1578
AFFIDAVIT OF REQUIREMENT
SEP 17 2019
ST. Lucie County, Permitting
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Residential Swimming Pools, Spa, and Hot Tub Safety Act
PERMIT q
SCANNED
BY
Stt. n6p rnnniv
I (We) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at
4901 GREEN DOLPHIN ST, FT PIERCE FL and hereby affirm that one of the following methods
(Please print street address)
; wifl us 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. 9.The pool will be equipped with an approved safety pool cover that complies with ASTM F1 246-9 1 (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. .
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.
I, the ccontracttoo�r, agree to instruct the owner of the proper use
//YYA�/0"t" /ic&
CONTRACTOR SIGNATURE
. TE OF FLORIDA, C UNTY F
TARY PUBLIC
The foregoing Instrument was acknowledged before me
this day,of 20
by
Personally Known ✓ or Produced Identification
Type of ldentifirati edN�"'r:
STATE OF FLORIDA
. Catritrdf CpG032559
t Eitplrtss 9/9fZ01A
SLCPDS Revised 0722/2014
COUNTY OF f � t/ r Lt `^.
The foregoing instrument s acknowledged before me
this ✓ day of 20
by hu h V I) o hy,e/�
Personally Known or Pr duced Identifiptlon '"
T
Type of Identifi
Co" GO0
ataires MWO20