HomeMy WebLinkAboutElevation AffidavitBOARD OF
COUNTY
Elevation Affidavit
Date I zl (31 19
PLANNING & DEVELOPMENT
SERVICES DEPARTMENT
Building and Code Regulation
Division
Property Address "1� 's 9-e x S-I- n . P i-eyc_z I Ft_ 3"V
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.
Print Owner's 1Y-ame
STATE OF FLORIDA
COUNTY OF PQ.lhn (3 eat
W i 1 Ck V�A, D-e ECOCHf
Signature of Owner
The foregoing instrument was acknowledged before me this 13 day of � ('1bLzr , 20 19
by \) t %kl c v— D.e-&,V H r personally known to me or who has produced
as identification.
A/M
Signature ci(otaroPublic
Commission Number
t0otery PuWle Bretnd Fluioe
? Bonnie Gomez
VUMy ComnisYan Ci0 310Yss
Eore 09Reram
Website: www.stlucieco.cov
2300 Virginia Avenue - Fort Pierce, FL. 34982-5652
Phone (772) 462-1553 FAX (772) 462-1578