HomeMy WebLinkAboutREQUIREMENT COMPLIANCE POOL&SPAPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIRGINIA AVE
SCANNED FORT PIERCE, FL 34982
BY (772)462-1553 Fax (772) 462-1578
St. Lucie COunty AFFIDAVIT OF REQUIREMENT COMPLIANC NOV 14 2� 19
Residential Swimming Pools, Spa, and Hot Tub Safety €i• Lucie County, permitting
PERMIT #
I (We) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at
151 OCMAJ C 5rr94e� + 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 safay pool cover drat complies with ASTM F1 246-91 (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
_bA,9Y4v pressure rating of85decibels at 10feet
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 $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 finalimi .
I, the contractor, agree to instruct the owner of the proper use and maintenance of such safety device.
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CONTRACTO IGNATURE % ,t
ST�tCE F FLORIDA, COUNTY OF Sr- MLt'
� '"`
/ PUBLIC
TheToregoing instrument was acknowledged before me
this day of i 5�� , 2015�
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by
Personally Known or Produced Identification
Type of Identification Produced:
'ev rv;e•., JA,MESROUAN
?'" MY COMMISSION #:f 0o8527
;r EXRRES:Novembar4,2020
SLCPDS Revised 07 a0I' `l;°:4 Bonded Thru Notary Public Undcnvri',8M
OWNERSIGNATURE G 7jWJOPL Sea%-/L.p
STA FFLORIDA, COUNTY OF��
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TCNOTARY PUBLIC
eferegoing instrument was acknowledged before me
this -TLday of ® ,20 F
by
Personalty KnownV or Produced Identification
Type of Identification
s:•. �'I
"<°:•�'•�•.<r JANIES ROUAN I
i ny. ^ h11' COMMISSION # GG 008527
�y.�o� EXPIRES: Novemba; 4, 2020
•�^,g � ; ::'� Bonded Thm Nc+ary PubCc Undsrvrisrs
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