HomeMy WebLinkAboutR Doty Elevation AffdavitBOARD OF
COUNTY
COMMISSIONERS
PLANNING &
DEVELOPMENT
SERVICES
DEPARTMENT
Building and Code
Regulation Division
Date ^ IzpZd
Elevation Affidavit
Property Address 5504 Birch DR Fort pierce, FL 34982
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 Name Signature of Owner
STATE OF FLORIDA
COUNTY OF^T. LDtit
ent was acknowledged before me thisThe foregoing in
personally known to me
as identification.
day of ,20^
or who bias produced
Signature of Notary Public
Cor
Notary Public State of Ftorida
* \ Eileen M Wilson
- ^ My commission GG 116567
NBil(libSir6/20/2021
Website: wvw.stlucleco.gov
2300 Virginia Avenue - Fort Pierce, FL. 34982-5652
Phone (772) 462-1553 FAX (772) 462-1578