HomeMy WebLinkAboutElevation AffidavitBOARD OF
COUNTY
COMMISSIONERS
Elevation Affidavit
Date 7= )q - )V
3LANNING &
DEVELOPMENT
SERVICES
DEPARTMENT
Building and Code
Regulation Division
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Itting
112020
FST.
Property Address 7103 Winter Garden Pkwy Fort Pierce, FL 34951
Permit #
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.
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Print Owner's Name
STATE OF FLOcR,,MA -
COUNTY OF Sn I n t
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Signature of Owner
The fore oing . trume it was acknowledged before me this L day of YGI'✓, QCI 20 Zo
by Gr✓ personally known tome ✓ orwhohaqroduced
as identification.
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Sigriature of Notary Public
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BondedTlnu Notary PubH:Undemiten
Website: www.stlucieco.gov
2300 Virginia Avenue - Fort Pierce, FL. 34982-5662
Phone (772) 462-1553 FAX (772) 462-1578