HomeMy WebLinkAboutREQUIREMENT COMPLIANCE POOL&SPAm• PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 vmGINIA AVE RECE TV 50
FORT PIERCE, FL 34992
SCANNED (772)4624553 Fax(772)462.1575 OCT 3 0 2019
BYCounty AFFIDAVIT OF REQUIREMENT COMPLIANCE §T. Lucie County, Permitting
St. Lucie Residential Swimming Pools, Spa, and Hot Tub Safety
I e) acknowledge that a new s cagy 1, s a, or hot tub will be constructed or installed at
%) ,� UC 117 F �YYL { 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 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 F1246A1(Stan(lard 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 a i exit alarm that has a minimum sound
pressure rating of gSdeclbels at 10 feet
Ali 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 lines 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.
1, the contractor, agree to instruct the owner of the proper use and maintenance of such safety device.
CONTRACT0t!)GNATURr
IN
F FLO COUNTY OF SFr \ V \ G L/
PUB [C
The foregoing instrument
was acknowledged before me
this day of
by ��V Y1It �nl\X
Personally Known \10 or Produced Identification
Type of Identification Produced:
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OWNER SIGNATURE c (1
STATE OFFLORIDA, COUNTY OF V V1
NOTARYP BLIC
The foregoing instrument was acknowledged before me
this �dayof_ OCTVVXY ,20�,
by Wyi �1\ iptt
Personalty Known or Produced Identification�
Type of Identification produced: d
SLCPDS Revised 071=014
Notary Public State of Florida
Sabrina M Arrington
t:ftb
My Commission GG 900279
Expires 081272023
�Jxs Notary PuDGe State or Florida
Sabrina M Arrington
p• My Commission GO 91W279
r q,sC Expires 081272023