Annex A

LISTING OF SAFETY BARRIERS SUBMISSIONS

PURPOSE: SUBMISSION FOR THE PURPOSE OF OBTAINING TEMPORARY OCCUPATION

PERMIT/CERTIFICATE OF STATUTORY COMPLETION1

Project Ref. No: _____

Project Description:

Declaration by Qualified Person (Architectural)

I hereby certify and declare that:

There is no safety barriers installed on site in this development

________________________________________________________ ________________________

Name, Signature and Stamp of Qualified Person (Architectural) Date

1
Reg 42(2)(g) and 43(3)(d) of the Building Control Regulations 2003