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HomeMy WebLinkAboutAFFIDAVIT IF REQUIREMENT COMPLIANCEi; PLANNING & DEVELOPMENT SERVICES DEPARTMENT Building and Code Regulations Division 2300 VIRGINIA AVE FORT PIERCE, FL 34982 (772) 462-1553 Fax (772) 462-1578 AFFIDAVIT OF REQUIREMENT COMPLIANCE Residential Swimming Pools, Spa, and Hot Tub Safety Act PERMIT p 490 c��N tT �Gc/ I (We) acknowledge that a new swimming pool, s a, or hot tub will be constructed or installed at CO-hfi 6 %.� S ©'�Qil �f IU F . ) ell sell PO1 and hereby affirm that one of the following methods (Please print street address) PL 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 F1246-9l(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. V_ 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 finalized. I, the contractor, agree t 'nstru the owner of the proper use and maintenance of such safety device. CONTRACTOR S NATURE I OWNER SIG RE STATE OF FLORIDA, COUNTY OF,Q-t�`t'f /� STATE OF FLORIDA, COUNTY OF NOTXRY PUBLIC NOTARY PUBLIC The foregoing instrument was acknowledged before me this a i �ay� (oaf ,,.. �I) At _ , 20� by�5�1CAO?" 0L Personally Known 1-1-/_ or Produced Identification Type of Identification Produced: NOWY Public Stote of Florida Dionm K Pond SLCPDS Revi 4 My COmmliilan 0020570I V Il orce 17/2ai7o22 The foregoing instrument was acknowledged before me this aLL'�da-Iy-of- 20L2— by (YYY i�tC�L/�tQ�Lni Personally Known 1 or Produced Identification Type of Identification produced: ��, Notary Public State of Florida Diana K Bond MY Commlatlon GG 2a5707 a^0F I�irei fyzanozz