HomeMy WebLinkAboutPOOL PAPERWORKPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIRGINIA AVE
FORT PIERCE, FL 34982 SCANNED
(772) 462-1553 FaX (772) 4624578 By
AFFIDAVIT OF REQUIREMENT COMPLLANC9 St. LUCI@ COUntr
Residential Swimming Pools, Spa, and Hot Tub Safety Act
PERMIT # -
I (We) acknowledge that a new swimming pool, spa, or hot tub will be constructed or installed at
) OY " ' i 3 _ and hereby affirm that one of the following methods
(Please print street address)
wlll be be used to meet the requirements of Chapter 515, Florida Statutes: (Please initial the method used for pool.)
The pool will be isolated from seems 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
Safely Covers for Swimming Pools, Spas, and Hot Tubs).
All doom and windows providing direct access from the home to the pool will be equipped with an exit alarm that has a minimum sound
pressure mting 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 J211 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 malntemmce, or the removal of such after the swimming pool has been fina0red.
I, the contractor, agree to instruct the owner of the proper use and malutenan¢e of such safety device.
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CONT TOR SIGNATURE
STATE OF •LO A, t/rr"OF4410(/--�—
TARP PUt1LiC 11
The foregoing Instrument was acknowledged before me
this G day of C 2041
by f i i
Personally Known �or Produced Identification
Type of Identification Produced: - _ --
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OWNER SIGNATURE
STAI& OFFLORIDA,COUNTY OF Z+• Lout
NOTAkYPUBLIC
The foregoing instrument was acknowledged before me
this 4� day of h- % I Ug+- , 204—
by 1•�. •. t Ko n i� n n c.i.)
Personalty Known or Produced Identification
Type of Identification produced: N /At
///pal TRACY L HOCHENOONER
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