HomeMy WebLinkAboutREQUIREMENT COMPLIANCE FOR POOL&SPAPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VrRGIN1A AVE
FORT PIERCE, FL 34982
(772)462-1S54 Fai(772)462-1578
AFFIDAVIT OF REQUIREMENT COMPLIANCE
Residential Swimming Pools, Spa, and Hot Tub Safety Act
PERMIT 0
SCANNED
BY
St. Lucie County
I (We) acknowledge /that a new swimming pool, spa, or hot tab will be constructed or installed at
S % 1.3-C1,,,'X A P l ,02 r✓ - 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,)
V The pool will be isolated from access to the home by an molosure that meets the pool barria requirements of Florida Statute 515.29
The pool will be equipped with an approved safety pool wverthat complies with ASTMF1246-9t(Standsrd Performance Specifications for
Safety Coven for Swimming pools, Spas• and Hot Tubs).
Ali door 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 85dem'bels 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 torte 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 finalized.
I, the contractor, agree to instruct the owner of the proper use and maintTte
of such s%afe/ty device.
24.1LJ l/l�
CONTRACTORSIG V RSIGNATORE `
STATE OF FLORIDA,, COUNTY OF �'/ - t�L�i L STATE OFFLORmA, COUNTY OF J7 9/ Ca G. C
(tiu t
OT Y PUBLIC NOTARYPUBLIC
The foregoing instrument w� as acknowledged before me
this �K' day of P,( , 20/7
by
Personally Known or Produced Identification
Type of Identification Produced:
The foregoing instrument was acknowledged before me O
this�day of /, 20
by ZISA AbZTeff
Personally Known 1Z or Produced Identification
Type of Identification produced:
N JOANNEYVILLB
SLCPDS Revised OMM014 s; n CamM18bn11Gt1272813
Exphl;Feblusly20,20
`+.P{,,, •' Bndcd7NaTteYWelosptMe000305.7019
JOANNEWClB
�•' . CanrN+sbni00211813
s? EIQIIetFe=4 42023
FofAr0iN0TItprFab6lems�a8Lq�98.470'li