HomeMy WebLinkAboutREQUIREMENT COMPLIANCE POOL&SPAl�
A�1111111111b PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
® 2300 VIRGINIA AVE
FORT PIERCE. FI.34982 SCANNED
(772)462-151,3 Far(772)462-1578 BY
AFFIDAVIT OF REQUIREMENT COMPLIANCE St. Lucie County
p 0/�^� Residential Swimming Pools, Spa, and Hot Tub Safety Act
PERalITO (ell VJ
1(we) acknowledge that a new swimming pool, spa, or hottub will be constructed or installed at
7 g0'1 vf, n �tl.Ff and hereby affirm that one of the following methods
(Pirate firint street address) ,
will be used to meet 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 mods thepool b5rrierregmrements of Florida Statute 515.29.
The pool will beequipped with an approved safety pool cover that complies with ASTM F1246-91(Standard Performance Specifications for
. Safety Covers far Swimming. Pools. Spas, and liot Tubs).
All doors and windows providing direct access from the home to the poolwill be equipped with an exit alarm that has aminimum sound
pressure rating of 85decd,elsat 10 I'ecL
All doors providing direct access from the home to the pool will be equipped with self clusing, self latching devices with release mechanisms
placed no lower than 34 inches above the Door or deck.
► understand thatnot 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 is committing a misdemeanor of the second degree,
punishable by finesupto S500.00 and/or up to 60 days in jail as established in chapter 775, F.S.
I understand that the St. t.ucie 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 swimmingpool has been finalized.
1, the contractor, agree to instruct the owner of the proper use and maintenance of such safety device.
C NTRACfOR SIGNATURE'
STAT .LORIDA, COUNTY OF'�`�
N e PUBLIC
The foregoing: instrument was acknowledged before me
OWNERSIGN TA LIRE
STATE OF FLORIDA. COUI(\N/�Tl' OF
NbTA9Y PUBLIC
The foregoing instrument was acknowledged before me
this J(o day of 20—a
IF
by lc—
Personally Known • or Produced Identification V Personally Known or Produced Identification
Type of Identification. Produced: aa=J�
Jea
Withney 5. n pis
P�SpB 'h's NOTARY PUBLIC
�STATE.OF FLORIDA
xW Comm# GG105923 -
• WE 10 Expires 511712021
sLcros Revised 07nz1zo14
Type of Identification produced: r L- 0 L—
V'1115
Stephanie Mare
NOTARY PUBLIC
STATE OF FLORIDA
Comm# FF957381
VE 1gTExpires 2/4/2020