HomeMy WebLinkAboutAPPROVED, SAFT AFFPLANN)VG & DEVELOPM(Ni' SERVICES I)FpARTAM, NT
Building and Code Regulatious Dbis;inu
2300 VMQX QfA AVE
FORTMROB, M34902
(772)46?-1553 Fox(772)461-1579
AFFIDAVIT Or, REQUTR , Wi NT COMI LTANCR
Rasidentiai Sw1ramit19 lbols, Spa, anti Hot Tub Safety Act
rB1tMiTn
T tVVo) acknowledge that a new atvlutmEng pao1, spa, or Hot htb wiq ba coaslructad or lastaUad at
1 Z attd horeby affirm that quo of 140 full owlag Methods
(Plulle print street addrew)
I011 be used to meet the requirements of Chapter 525, Maelda Statute, (Please initin[ the tnathod treed for pool.)
—Z The pool will bo idolntod fromumeas to tho homeby 6arnoiosnro(hit meals rho pool burferrogateements ofplodde 51atuteg5.29,
Tlleyaoi will bd tqulppcd Velthaaapproved softly pool covrr Out complies With ASTMp1246-91(Slandard Porrormaooe 3poolfioations for
Safbly 09vo(3 ACSwimM1000uh, Spas, and liotTubs).
All doors and windows providing direct arccos irom the home to Ow pool will be oquippmf with an loll sl6rro that has a u>Crrf alum stead
proesuromUngofWcelbolsatto fhot
Aft doorspmM(ngdirmtaccasshomtbo%ornalothepool %,fiiheequlppcdw"llwit cloalag,settWelling devices Wllhralememeehaolsrm piseed no lower time SA Indies above the poor or deck
C understand that not having one of tho nbovu 4rstniled nt the time offleal Inspcelloa, or wbou the pool Is complotcd for Confrlret
Purposes, wll[ constitute u vialollon ofChapior 5t5, I.S., and will be considered as eorm"Itflug a misdemonrtor of the aecOtad degree,
punishable by lines up to $500.00 andlor up to 60 days In Ml as established in thaptor 775, U.S.
l understand that too St, Lucle County gulldingfutpeetloas Department assumes no llabgity for tho float laspecilon of.oao offhe
Above profectivo devices, or file Enekof mnintoaaace, or the removal ofauch offer thoswimm(ug pool has been finalized,
t, thecagtraetoq agree to instruct tho awaerul the proper use and maintcttance 0(sac/hhssafetty device-
COtVTItACfO 'PURE � RSCONATURE
STNT.AO+FLORWA,COMMOF !� 4CcCr45 STATE OFFLORMA,COIMTYOF
`NOTARY PUDUC
NOTARY PUBF W
The foregoiogindrument was nefmonledged before me
this % t Iry
-day of C 20'2 G
by
Personally Known or Producedldentlocatlon
Tho torogatng Instrument was tole/`/nwvicrtged before mo
this MA
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TYpe of Identification produced: typagf Identification produced:
v UbeRenee Schuster
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