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HomeMy WebLinkAbout421 N SHERWOOD ST - AFFIDAVITS - 2/21/2020 (2)�CityofBuilding Services PO Box 580 ort Coth t� ©s 281 N College Ave Fort Collins, CO 80524 970-416-2740 phone 970-224-6134 fax HOMEOWNER AFFIDAVIT I/we,`-�( '� j_ , as owner(s) of record of the property located At: yZi k?. , Fort Collins, Colorado, hereby declare and attest to the following: (please check only the one that applies): OPTION 1: ❑ 1 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 property and will be my/our Primary residence. I/we have not personally constructed any other new homes in the Fort Collins city limits within the past 24-month period. OPTION 2: KI am/we are acting on my/our behalf for the purpose of obtaining a building permit and personally constructing an alteration or addition to my/our house, acting as our own general contractor. The house to be altered is on the above property and is my/our personal primary residence. OPTION 3: ❑ 1 am/we are acting on my/our behalf for the purpose of obtaining a building permit and personally constructing a non-structural alteration to my/our attached single family dwelling unit. The house to be altered is my/our personal prima residence. I am aware that I/we cannot do any structural, electrical, plumbing or mechanical work and must hire contractors/subcontractors who are currently licensed and insured with the City of Fort Collins. I am/we are personally performing all of the work or hiring City of Fort Collins licensed trades people, or will be continuously supervising unpaid volunteers (see Option 3 for attached dwellings). The work is directly related to the construction of the above referenced home, which is described more fully on Permit Application # (obtained from the Building Services office). I/we understand that any person(s) or agent(s) contracted to perform structural wood -framing, plumbing, HVAC, electrical or roofing work, MUST BE licensed contractors in accordance with the regulation of the City of Fort Collins. I/we understand that failure to comply with any of the above conditions may result in revocation of any permits associated with the above Permit Application number, forfeiture of any fees that have been collected, a Stop Work Order and potentially a court summons. Sign in the presence of Notary Publj wner Co-owner The foregoing Affidavit was acknowledged before me on this I aAll day of F-00J-0-V\J , 9-0?-0 (month, year) by Jei�(1CQ akLl/l v Witness my hand and offici My commission expires: KIANA SAD E CARTER Notary Public Notary Public State of Colorado ry Notary ID # 20144039424 11 MY Commission Expires 03-07.2023 Revised 611012014