HomeMy WebLinkAboutREQUIREMENT COMPLIANCE POOL&SPAPLANNING & DEVELOPMENT SERVICES DEPARTMENT
SCANNED
BY
St. Lucie Countv
M.1111 ' #
Building and Code Regulations Division
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
(772)462-1553 Far(772)462.1578 RECEIVED
AFFIDAVIT OF REQUIREMENT COWLIAN
Residential Swimming Pools, Spa, and Hot Tub Safe Act 0 C T 15 ' 0' 9
ST. LUCle County, Permitting
I (We) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at
/lWC C-16 s f 22 A 11 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.)
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 esit almm 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 an lower than 54 inches above the floor or decL
I understand that not having one of the above installed at the time of final inspection, or when the pool is completed for contr ici
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 contractor, agree to instruct the owner of the proper use and maintenance of such safety device.
AL�
CONTRACTOR SIGNATURE R SIGNATIffig /
STATE OF FLORIDA, COUNTY OF �/ - � ' �� t STA� OF FLORIDA, COUNTY OF
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ARYPUBLIC YOTARYPUBLIC
The foregoing instrument was acknowledged before me The foregoing instrument was acknowledged before me
this,1` day of Or ��i . 20� this IV ay of c6p / . 20/
by- ? t/ 'GU/I(L
Personally Known _ Or Produced Identification
by /.t//.1 1h .
Personalty Known m Produced Identification
Type of Identification Produced: Type of Identification produced:
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