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Community residential home affidavit of compliance form

Community residential home affidavit of compliance form 2025

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The document is an affidavit for compliance with Chapter 419 of the Florida Statutes, pertaining to community residential homes. It requires the facility to provide information about its location, zoning status, and compliance with local regulations regarding proximity to other residential homes. The affidavit must be signed by an authorized individual affirming the accuracy of the information provided.

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Click ‘Get Form’ to open the community residential home affidavit of compliance form in the editor.
Begin by entering the name of your facility in the designated field, followed by the complete address, including city, state, and zip code.
Input your facility's telephone number and specify the number of licensed beds available.
Indicate whether your facility is located in a single-family or multi-family zoned area by checking the appropriate box.
Ensure compliance by confirming that you have provided local zoning authorities with necessary data from relevant agencies. Check the box if you have an approved variance and attach a copy.
Affirm that you will notify local government upon home occupancy and understand the liability disclaimer regarding dispersion requirements.
Finally, print or type your name, title, sign, and date the form to complete it.

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Versions	Form popularity	Fillable & printable
2010	4.4 Satisfied (26 Votes)
2006	4 Satisfied (58 Votes)

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What is the purpose of the affidavit letter?

Affidavits can occur any time a formal promise is made, and they are often used as a form of documentation tied to a specific person in the proceedings. They are often used in court to serve as evidence toward a singular side in a dispute, or to affirm a claim that someone is making.

What is the purpose of a certificate of compliance?

Certificate of Compliance is a document which certifies that the goods or services supplied meet the required standards. The document is a way of ensuring that consumers in the importing countries are protected against harmful or sub-standard products.

What is an affidavit of compliance?

AFFIDAVIT OF COMPLIANCE means an affidavit provided by a seller, stating that a property either is in compliance with the programs requirements or is exempted from compliance under this section. An affidavit of compliance must also include a list of improvements installed to comply with the program.

What is a community residential home in Florida?

(a) Community residential home means a dwelling unit licensed to serve residents who are clients of the Department of Elderly Affairs, the Agency for Persons with Disabilities, the Department of Juvenile Justice, or the Department of Children and Families or licensed by the Agency for Health Care Administration which

What is the meaning of document of compliance?

Document of Compliance (DOC): Granted to the company or ship operator, the DOC affirms that the companys management operates in ance with the SMS that meets ISM Code requirements.