HomeMy WebLinkAboutREQUIREMENT COMPLIANCE POOL&SPAPLANNING" JEVELOPMENT SERVICES DEPtucTMENT SCANNED
Building and Code Regulations Division BY
2300 VIRGINIA AVE S�. Lucie Count%
FORT PIERCE, FL 34982
(772)462-1553 Fax(772)462.1578 PZECEIVED
AFFIDAVIT OF REQUIREMENT COMPLIANCE
NCJ T.9
Residential Swimming Pools, Spa, and Hot Tub Safety A
PERMIT #
ST. Lt1Cih county, Perfiitting
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I (We) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at
Ara y� A1.4 O O & D Ocilr V4- 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 Statute515.29.
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. 't eeoWi ed to
Iu fool Wuter f0rrnjhat SoLAr4 uPe etc�+ion of aMiden'Ell e"�trai�e In}P water HSTN stnrldard FR,7D?
anderstand that not having one of the above insta ed at the time of final inspection, or w en a Poo rs 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 finalized.
I, the contractor, agree to instruct the owner of the
COUNTY
The foregoing instrument was acknowledged before me
this I `! day of 1 V O Y C.il 11[ l . 20�
by JtaY [PST L�Y1(l(
Personally Known 4�4_ or Produced Identification
Type of Identification Produced:
of such safety device.
The foregoing instrument was
acknowledged before me
this y�day of�OV m r ,20R
by LJCaYn-•t-s Misaf-play /
Personally Known orProduced
`lddeentificationnjp�Y/►
Type of Identification produced1/Y 6r I i ce / e,
�i ANG'cLA BOIiSODI-BIRMINGHAM
_;�i��eL,-
�?: -,.,, _^, Notary Public- State of Florida
:. % 71r 'o Commission # GG 249625
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Bonded through National Notary Assn.
ANyELA BORSODI-BIBMINGHAM
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Notar P
y ublic-state of Florida
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Commission %GG 249625
o n° M Comm. Ex ,
SLCPDS Revised 07/22/2014 Y pYes Aug t 6. 2022
Bonded through National Nalary Assn.