HomeMy WebLinkAboutREQUIREMENT COMPLIANCE POOL & SPA AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIR61NIA AVE SCANNED
FORT PIERCE, FL 34992 BY
(772)462-1553 Fax(772)462.1578 St. Lucie County
AFFIDAVIT OF REQUIREMENT COMPLIANCE
Residential Swimming Pools, Spa, and Hot Tub Safety Act
PERMITO
I (We) acknowledge that a new swimming pool, spa, or hot tub will he constructed or installed at
6780 Dickinson TER Port St Lucie, FL 34952 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 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(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 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 fin" up to s500.00 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
The foregoing instrument was acknowledged before me
this 30 day of 8e,p1' 4ttnIDQA— . 20_L9�
by TAMES T L ONARD
Personally Known X or Produced Identification
Type of Identification Produced:
SLCP '1° NGE'_A OOR-001-BIRMINGHAM
7/t(�91APublic - Stale of Florida
Commission a GG 249625
Ex;n es Aug 16. 2022
OFF:
9orce[ through'xatiora'. Notary Assn.
of such safety device.
away 2 O
OWNER SIGNATURE
ST E OF FLORIDA, COUNTY OF ST LUCIE
OTARY PUBLIC
The foregoing instrument was acknowlle'dged before me
this �day of &Wktrbe—120 /Ip
by Maria Santangelo
Personally Known or Produced Identification XX
Type of Identification produced: DRIVER LICENSE.
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NGELABORSODI-BIRMINGHAMotary Public -Slate of FloridaCommission x GG 249625y Comm. Eapires Aug 16, 2022 through National Notary Assn. -