HomeMy WebLinkAbout908 SYCAMORE ST - AFFIDAVITS - 2/18/2014., 'r ' +., •� 7 a5.t "' "� 'g r *-.y..„ ,a .-. ry, �-2 .ax�i : � - � { s 6 ZW 1 r
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1 1 y; r AFFIDAVIT .s t
14
/w'e, a.Iq
as owners) of record of the property located
"'�: r'�
5,C_C�JA a rp S� _ _ Fort Collins, Colorado. herebv declare, anti attest
to`the following: (please check only'the one that applies)
.� I am/ we are acting on my/ our behalf for the purpose of obtaining a building permit and personally
constructing my/our home. The home to be constructed is on the above propertyand will be my/our
primary residence. I/we have not personally constructed nay other new homes in the Fort Collins
city limits within the past 24-month period.
❑ 1 am/we are acting on m`y/our behalf for the purpose of obtaining a building permit :and personally '
constructing an alteration or addition to my/our house: The house to be altered is on the above
property and is my/our.personal residence.
❑ 1 am/we are acting on my/our behalf for the purpose of obtaining a building permit and personally
constructing anon structural alteration to mylour attached svigle family dwelling unit The"house
to be altered is illy/our personal residence' I am aware that 1/we ctnnot do any structwal,
electrical, plumbing ore mechanical work and must hire contractors/subcontractors who are
currently licensed and insures with the City.of Fort^Colliris.
,
I am/we are personally performing all of the work, or will be continuous) su ervisln y p, g unpaid volunteers.
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The work is directly related to the construction of the above referenced home, which is described more fully
on Permit Application fr (obtained from,Building and Zoning office). 1/we
r
understand that any person(s).or a9ent(s) contracted io perform structural wood framing,'.plumbing, HVAC;
electrical work, r6'bfing or cast=in place structural concrete work, MUST BE licensed contractors in
accordance with the regulation of the City of Fort Collins.
to understand that failure to comply with any of theabove''conditions may result in revocation of any
rmits associated with the above Permit Application number, forfeiture of any fees 1hat,have been
Ilected, a Stop Word O derraand a court summons;
in in the pre ease 0f ot�n Gblic 1
ft: Owner
Co=oNmer
n.
The foregoing Affidavit was acknowledged before me on this �S day of
(month, year) by
Witness my hand and official seal MARGARET R. CLANCY
' NOTARY PUBLIC
My commission eXPIreS - NOTARY DRAO
STATE F0 210184040425
... MY COMMISSION EXPIRES AUGUST 08, 2017
"Notary''Public ,.