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Evaluation Affidavit
BOARD OF COUNTY COMMISSIONERS Date 3 ^ q 4oao Property Address 4 606 PLANNING & DEVELOPMENT SERVICES DEPARTMENT Building and Code Regulation Division Elevation Affidavit nd,ba JU�, f'1 I F7L 2gj0 Permit # e�2 er D,:�— © ) Flood Zone The non -habitable / non-residential building (accessory structure) cannot be converted to a habitable dwelling unit unless it is modified with a building permit to comply with the relevant elevation requirement. _ a yy1cS Fu r-101 Print Owner's Name STATE OF FLOREDA COUNTY OF S+ L.Ie i _ f Sig ture of Owner 1 / The foregoing instrument was acknowledged before me this q'Fi't day off MaMk 20c9-0 by %_lC l PS t-o_r—lepersonally known to me V or who has produced as identification. Signature qotary Public ,n 3a 9810 ""•' MWTHOMPSON CommisatonMGG320980 Commission Number g,t EzplresMay 10,2023 ��ora°QP emGE11vu8WpettbWY�o,Na11 Websile: www.stlucleco.gov 2300 Virginia Avenue - Fort Pierce, FL. 34982-5652 Phone (772) 462-1553 FAX (772) 462-1578 9 MAR 17 2020 Permitting Department St. Lucie County, FL