HomeMy WebLinkAboutREQUIREMENT COMPLIANCE POOL & SPA AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772) 462-1553 In (772) 462-1578
AFMAVIT OF REQUIREMENT COMPLIANCE
Residential Swimming Pools, Spa, and Hot Tub Safety Act
PERMIT )qu0-00pcI,
SCANNED
BY
St. Lucie County
I (We) acknowledga� that a new swimmingpool, spa or hot tub will be constructed or installed at
856 NOA STEET FORT PIERC:F FL 34982 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.)
WyThe 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(Standud Performance Specifications for
Safety Covers for Swimming Pools, Spas, and Hot Tubs).
NS 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 1 D 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 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 totalized.
I, the contractor, agree to instruct the owner of the
The foregoing instrument was acknowledged before me
this day of („/I�IUVIJI ,20�
by (h runs T- Leon in i-cL
Personally Known V or produced Identification
Type of Identification
ANGn BORSODI-BIRMINGHAM
SLCPDS Revised 07 Notary Public • State of Florida
..,a' Comm. Expires
es Aug 1 , 2
My Comm. Expires Aug 16, 2022
Bonded through National Notary Assn.
naintee atfce of such safety device.
The foregoing instrument was acknowledged before met p
this day of C 20
by�e1h11A
V V
Personally Known or Produced Identification
Type of Identification produced:lJ . l IVa I I0e e/
amm
A BORSODI�BIRMINGHAM Public - State of Floridamission 4 GG 249625m, Expires Aug 16, 2022gh Na[iera. '.otary Assn.