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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 $500.00 and/or up to 60 days in J211 as established in chapter 775, F.S. I understand that the St. Lucie County Building Inspections Department assumes no liability for the final inspection of one of the above protective devices, or the lack of malntemmce, or the removal of such after the swimming pool has been fina0red. I, the contractor, agree to instruct the owner of the proper use and malutenan¢e of such safety device. a:::> p� CONT TOR SIGNATURE STATE OF •LO A, t/rr"OF4410(/--�— TARP PUt1LiC 11 The foregoing Instrument was acknowledged before me this G day of C 2041 by f i i Personally Known �or Produced Identification Type of Identification Produced: - _ -- f "91py� CAREN8.MUS SLCPDS Revised 07l2 - Myt�liMaNuafJ a�t97f '•.1:a l:1". EXPIRft$Wamber4,20Zi Iwo, polit 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 1' �: KouryDublk-suteciFlorida 51�j Cemmkdan r OG 1Ie197 0W Mr Comm.Enlres Junl,2d22 Banded Weuth Naooad 9Mj1yAM