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TOWN OF JUPITER ISLAND BUILDING DEPARTMENT 2 BRIDGE ROAD, HOME SOUND, FL 33455 Phone: (772) 5450150 PERMIT #___Residential Swimming Pools, Spa and Hot Tub Safety Act POOL SAFETY ACT AFFIDAVIT I (We)

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7. Fill out the required fields such as business name, address, phone number, and category.
8. Add any additional information or special instructions in the provided text box.
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