HomeMy WebLinkAboutREQUIREMENT COMPLIANCE AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
° Building and Code Regulations Division
® 2300 VIRGINIA AVE
FORT PIERCE, FL 34982 R�
SCANNED (772)462-1553 Fax(772)462-1578 AP^ OL-11-
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BY AFFIDAVIT OF REQUIREMENT COMPLIANCE s7
St. Lucie Countv Residential Swimming Pools, Spa, and Hot Tub Safety Act t�`CocAd
QM1T N off' ��%el
I (We) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at
10603 PINE NEEDLE DRIVE 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.)
X The pool will be isolated from access to the home by an enclosure that meets the pool harrier 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 exit alarm that has a minimum sound
.pressure rating of 85decibels 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 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
The foregoing instrument was
acknowledged before me
this —Ldayof l.t itU,bex .20A,
by me T
Personally Known ar Produced Identification
Type of Identification Produced:
ANG-LA BORSODI-BIRMINGHAM
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notary ?uolic - State of Florida
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SLCPDS Revised 07. 2f20id
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dorCO': through ,atiarai NIt11 Assn.
of such safety device.
�OwNER SIGNA RE CC //�� ,q
TE OFFLO IDA, COUNTY F V Lua
TARY PUBLIC
The foregoing instrument was acknowledged before me
this��day off 43ernel/1DOX .20)Q
1
by OMrlW T mp S
Personally Known orProduced
`ldleenntiLficatio/n—
Type of Identification producedl—b � Y 1, / I �lL f I
ELA BORSODI-BIRMINGHAMary
EM
?uolic-State of Floridaommission„GG 249625amm.
Expires Aug 76, 2022rough
National Notary Assn.