HomeMy WebLinkAboutFinal Cost AFfidavit - FEMA Flood Zone TOWN OF YARMOUTH
1146 Route 28, South Yarmouth, MA 021 r: E c EIVED I
508-398-2231 ext. 1261 Fax 508-398-0831
Office of the Building Commissioner JUN 04 2026
BUILDING DEPARTMENT
By
FINAL COST AFFIDAVIT FOR WORK IN FEMA FLOOD ZONE
To the Building Commissioner,
In accordance with 780 CMR Section 109 of the Massachusetts State Building Code, the total estimated cost of
construction, including all related costs* of the building at (� S Q,c_:v Y e w w¢, ,tar mom h ,MA O?6 4'f
and constructed, reconstructed, altered,repaired, or extended under building permit no. it L t R a5 - 5.0
amounts to $ L ck 9 4 3 ,0 0
I, C e. CMO1m‘C, Sa,r rv\-o S ,being referred to as the owner/agent identified below,do solenmly
swear that the statements made herein are strictly true, correct and made in good faith.
*Related construction costs include all work done with or concurrently with the work contemplated by the building
permit including construction, reconstruction, repairs, demolition, HVAC work, etc. Furnishings and portable
equipment are not part of the total construction costs.
--------4-&1------------._
Signature of owner/agent
VISHAL VIHOL
I Notary Public
Commonwealth of Massachusetts
My Commission Expires
14\ . March 13, 2031
Notary Public Signature My Commission Expires
,�tiwuinurn,,
Notary Seal: ,,,`,�,t�9HAL. 11`',,,,4. ,
,o . • MMis'sio i;yO�'
•yc_4" 13„,;-,o�•
:._.
.,
'� O • yOF MASS '• '.