00-0322-003 SWIMMING POOL OWNER'S CERTIFICATION
Date 2. •�—�• c�
- nt
Department of Planning,
Development and Regulation
Attention Building Official:
Lo
I certify that I am the legal owner of the property. described as
located at `. :,o 1-2,f a T*-
In accordance with Section 33-12(e) and (f), Code of Metropolitan Dade County, I
certify that I understand and agree that the swimming pool to be constructed at the above
address cannot be used or filled with water until a separate permit has been obtained for an
approved SAFETY BARRIER; INCLUDING A SPRING-LOCK SELF-CLOSING
GATE, (double gates must be constructed to the standard described in memorandum
dated October 12, 1994 in order to meet this requirement), equipped with A SAFE
LOCK (no padlocks are permitted on pedestrian gates; padlocks are required on non-
pedestrian gate leaves of double gates) and utilized when the pool is not in use and such
barrier erected, inspected and approved.
I further understand that this certification, however, does not efiminate the need for
obtaining a permit and erecting an approved barrier prior to final inspection and use of tht-
pool.
i
I have read and understand the reverse side of this form.
Legal Owner
See reverse
NOTE: IF AT THE TIME OF FINAL,THE ABOVE REQUIREMENT HAS NOT BEEN
MET,THE OWNER WILL BE CITED WITH A ZONING IV70LATION