HomeMy WebLinkAboutAFFIDAVIT OF REQUIREMENT COMPLIANCEPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIRGINIA AVE!
C�
FORT PIERCE, FL 34982
462-1578
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L77
(772)462-1553 F= (772)
St. Lucie
Count,
AFFIDAVIT OF REQUIREMENT COMPLIANCE
Residential Swimming Pools, Spa, and Hot Tub Safety Act
PERMIT H
I (We) acknowledge that a new swimming ool, spa, or hot tub will be constructed or installed at
IOO r ripr- / (VA P—,PJ/LS21n Ch Ste, 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 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 $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 fmalind.
I, the contractor, agree t ' struct the owner of the proper use and maintenance of su af, ty devic
CO OR SIGNATURE OWNER RE
STA U OF FLORIDA, COUNTY OF n
NO ARY PUBLIC
The foregoing instrument was acknowledged before me
this �y1
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by�ClwT" t�l Q�8:4�
Personally Known or Produced Identification
Type of Identification Produced:
DIANE K BOND
�•�i,�' MY COMMISSION#FF1e5430
EXPIRES December 28, 2018
407 SLCPDS Revised 3d8-0163 Florldallotarysorvloe,c0m
oTARY
STATE OF FLORIDA, COUNTY OF i4(11!' ky)
PUBLIC �
The foregoing instrument was acknowledged before me
this � day orf/ p� �t" 20�
byN�Vrl S 1CLin ILf.s
Personally Known ✓ or Produced Identification
Type of Identification produced:
firM'i'oo.....
r,�:• - °��; DIANE K BOND
g MY COMMISSION #FF1 85430
EXPIRES December 28, 201 a
(407) 308.0153 Floridallotarysemice,com