HomeMy WebLinkAboutAFFIDAVIT OF REQUIREMENT COMPLIANCEPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIRGINIA AVEFORT !1A
(772) 4624553ERCE, FL 9F Fax (772) 42i 1578
RECEI"_D SEP ? ?2017
AFFIDAVIT OF REQUIREMENT COMPLIANCE C/@ C
Residential Swimming Pools, Spa, and Hot Tub Safety Act 0%6-
PERMIT 8
I (We) acknoffledge that a new swlmmipg pool, spa, or hot tub will be constructed or installed at
( 2 32 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 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).
_N/1— 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 ftnatized.
I, the contractor, agree to instruct the owner of the proper use and maintenance of such safety device.
�34
CONTRACTOR SIGNATURE
STArF FLORIn UOUNTY OF
i
NOT PUBLIC
The foregoing instrument was acknowledged before me (�
this day of �` 20
by �-+�� \(_� ZJ A-t M
Personally Known /\ or Produced Identification
Type of Identification Produced:
Cr*,Emmefte MacCoY
NOTARY PUBLIC
` r STATE OF FLORIDA
Canm# FF994401
SLCPDS Revised 0 EWM S128=21)
OF ILI
The foregoing instrument was acknowledged before me
this A day of 20i
by - fist //
Personally Known or Produced Identification--
Type of Identification produced: FILI L
Craig Emmelte Maccay
NOTARYPUBUC
STATE OF FLORIDA
Comm# FF99440t
Expires 6128=20