HomeMy WebLinkAboutElevation AffidavitPLANNING & DEVELOPMENT
BOARD OF SERVICES DEPARTMENT
COUNTY
COMMISSIONERS ®,, o Building and Code Regulation
-- Division
Elevation Affidavit
Date of /qZo ��tt
Property Address Z S S &; d l•IIpp
CV - 0� W, y
Permit # ZBt 7h—03`i2, Flood
Zone lkL
The non -habitable J 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.
/o A J IC0 SA,7
Print Owner's Name Signature of Owner
STATE OF FLORID
COUNTYOF
The foregoing instrument was acknowledged before me this I of day of� 20 >-0
by N 0 PY✓\ , j personally known to me _ ort-� who has produced
�j as identification.
Signature of Notary Public
.b,p, LISAK.ENGEL
?'• 1'` Commission#GG 116610
Commission Number ia;' Expires June 19, 2021
-*ti<ot t?+' BondedTANTroY Fain lnsuow 80P388.7019
Website:v stluci waov
2300 Wginia Avenue- Fort Pierce, FL. 34982-5852
Phone (772) 402-1553 FAX (772) 462-1578