Acworth, GA · Cobb County
Swimming Pool Barrier Affidavit
Homeowners or contractors complete this affidavit to accept responsibility for installing a swimming pool barrier and requesting required inspections.
What this form is
This affidavit records whether the homeowner or contractor will be responsible for installing the swimming pool barrier and requesting required inspections. It states that the barrier must be at least five feet high and that the pool must not be filled until the required barrier components are installed. The signer also acknowledges receipt of the Swimming Pool Permit Application Packet.
Who needs it
Homeowners or contractors responsible for installing a swimming pool barrier and requesting the required inspections complete this affidavit.
How to submit it
Submit it to the City of Acworth Community Development Department at 4415 Center Street W, Acworth, Georgia 30101, or email [email protected].
About notarization
This document is signed without a notary; the homeowner or contractor and a witness sign and date it.
How to submit this form
- 1
Download The Affidavit
Download the Swimming Pool Barrier Affidavit PDF.
- 2
Complete The Form
Identify the responsible homeowner or contractor and provide the pool location.
- 3
Review The Responsibilities
Review the barrier height, inspection, and pool-filling statements on the affidavit.
- 4
Sign And Submit
Have the homeowner or contractor and a witness sign and date the affidavit, then submit it to the city department listed on the form.
Frequently asked questions
- Do I need a notary for the Swimming Pool Barrier Affidavit?
- No. The document has signature and date lines for the homeowner or contractor and a witness; it does not include a notary block.
- Who completes the Swimming Pool Barrier Affidavit?
- The homeowner or contractor responsible for installing the pool barrier completes the affidavit and acknowledges responsibility for requesting required inspections.
- How do I submit the Swimming Pool Barrier Affidavit?
- The form lists the City of Acworth Community Development Department at 4415 Center Street W, Acworth, Georgia 30101, and [email protected].
- What does the affidavit say about filling the pool?
- The signer agrees not to fill, or allow anyone to fill, the pool with water until the required barrier, including gates, alarms, and covers as necessary, is installed.
Need something notarized?
This Swimming Pool Barrier Affidavit doesn’t need a notary — but if you have another Acworth form that does, a commissioned online notary can help.