HomeMy WebLinkAboutAFFIDAVIT OF REQUIREMENT COMPLIANCEGYM
PERMIT N
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIRGINIA AVE
FORT PIERCE, Ft. 34982
(772)462-1553 Fair (772) 462-1578
AFFIDAVIT OF REQUIREMENT COMPLIANCE SCANNED
Residential Swimming Pools, Spa, and Hot Tub Safety Act BY
St. Lucie Countv
I (We) acknowledge that a new stvinuning pool, spa, or hot tab will be constructed or installed at
L-St_('--10 IN N l - , and hereby affirm that one of the following methods
(Please print sheet 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 front 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 F1246-91(Standard Performance Specifications for.
/ Safety Covers for Swimming Pools, Spas, and Hot Tubs).
.All doors and windows providing direct access from tile ]ionic tothe pool will be equipped with an exit alamt that has a minimum sound
pressure rating of85decibels at 10 feet
All doors providing direct access from the home to the pool will be equipped with self dosing, self latching devices with release mechanisms
placed no loco 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 (lie 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 Qnes up to $500.00 and/or uitl 60 days In jail as established la 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 trick of maintenance, or the removal of such after the swluuning pool has been ftuatized.
1, the contractor, agree to instruct the owner of the proper use and nmintenanc IF such safety device.
CONTRACT RSIGNATURE O\ `ER SIG ATURE
n ,
CO TS`OF
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ATF OF FLORIDA
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STATE
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N rnev PUnLI
The foregoing instrument was acknowledged before me
this 10j dayof �-e6 ,20 %A—V
Personally Known ✓ or Produced Identification
The
PUBLIC
Instrument was acknowledged before me
this / day of /-ter✓ . 201k
by bmjii&41k
Personally Karl or Produced. identification
Type of Identification Pod ce . Type of Identification produced:
RACHEL GRCSS
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,PAY o Notary Public - State of Florida
My Comm. Expires Oct 5, 2016 .4
"o,' Commission # EE 832351 ; +c, JOAN ASTORCH
°F'OP� B rid d Tnrou A National Notary Assn. _ _ Notary Public -.State of Florida
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