Date
2875 SABRE STREET, SUITE 500
VIRGINIA BEACH, VA 23452
perminsp@vbgov.com
POOL FENCE AFFIDAVIT
As the owner of the property locate at .
I am aware of the requirements for the enclosure of a swimming pool in accordance with
Section 305 of the International Swimming Pool and Spa Code (ISPSC).
Existing Fence:
I certify that my property has an existing fence, which meets the requirements of the code for a
swimming pool enclosure.
New Fence:
I take full responsibility, as the property owner, for ensuring that the building permit for the
swimming pool fence enclosure is obtained and that the swimming pool shall be protected by a properly
constructed fence or barrier during and after construction.
In addit
ion, I assure the swimming pool will not be filled with water or otherwise used or occupied until
all final inspection approvals have been granted by the City of Virginia Beach.
Owner’s Name (Print) Owner’s Signature
NOT
ARY:
Commonwealth of Virginia
Coun
ty/City
The foregoing was acknowledged before me this day of , 20 .
Notary Signature
PLANNING/PERMITS & INSPECTIONS
(757)-385-4211
FAX (757) 985-5777
TDD (757) 385-4305
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