HomeMy WebLinkAboutAffidavid of Requirement Compliance=t PLANNING G & RDA r - aOP E —T SERVICES II.1P -F. NT .
e Building and Code R
FORT ,l L34im-
Residential SwimIDIIIg Plod& Spa. and Hot TFi°:s Safigy Act
PERNUT 9
I (We) aclalowledge that a new swJmmi3,gg pwl, -Pa ar hiA tubwffl beczasl;vMdor :a
51 SOVEREIGN WAY �4a sI— _r*I—
(Please print stets addtew)
will be used to meet the requirements of ih2p3er5j-,�,.Fjoralia
poolm116eisolated&�zstat�tn�s3lt�I.�v ,;�'rre;.�L'.a:�Gm:�I,S.
The pooYm'II)x equipg4d z�iih an a}gsoti�d ss��'3 poe4 ♦vim � ec� A�� �.'�-��(-=a c'�.'s-...sa.�:4�� �r
Safety Corners for Slwim� Pool&. Spas, cad He, TthZ
All doors and wzndovm pro%adq,-&eas i3 L i3ea ��a1 ti,�3 E a s a r i m end
Fesmre ruin.- ofgSdedbeis at I® few.
Alldoors providingdinrianyfiumtheIho=tatadpimi%VMke0'2 4T e3V 4 1 -,-a fe 4 f c'srjag&-%i=v4-1r--k, 6
placed no loner than 54 inc-hes ab w tle floor or dam.
I understand that not having one of the abox�e iffitalled si the thne of $ix�3 i 3ioa, oz 1i � is em$k3td isbr man; rt
purposes, will constitute a violation of Chapter SIS, F.5., and avt11 bencid€�d �e +;^c�mmtTdr st m��r etfgi+.1C
nren,
punishable by flues up to SSM00 andlor up to 6tl des in jail as estabUshed in +ebaprer'IM R&
I understand that the St. Lucie County I ding Inspeedoas Beni a iumta tto tD i r fi3r tb iivM bqe,,&-A of tree a itb`
above protective devices, or the luck of )maintenance, or the remoist3 otsut b alter ibe ndmmkq pM has bm fmanm&
I, the contractor, agree to instruct the owner of the proper use =d mulmnsnee oTw& sakia a%4
4�0kaRACTOR S1GNA
STATE OF FLORIDA, COUNTY % L. dt c l t
NOTARY PUBLIC
The foregoing instrument e-as acknowledged belbre the
this day of
by ,J O `/ N Lzor
/V ✓Vl A
Personally Known Produced Identli9ration,_,_,,,_._
Type of Ident ficetlop Produced:
Notary Public State of Florida
William Henry Donovan it
My Commission HH 088457
jaw Expires 04/12/2025
SLCP1?S Rex
fiinve-going I nstimment aftm,%rieftta t t%m t
this d1k 09
Iaarsanaily tZttt tv�lr_, or ftwmw kUnttiic&ft% „_„i
Typo of tdaniftal ion prmdrnod:
�. It, Notary Public State of Florida
Kaylin J. Islay
My Commission GG 9069el
OFM1d� Expires 10/03/2023