HomeMy WebLinkAboutGuest House AffadavitPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
Building and Code Regulations Division
2300 VIR61NIA AVE
FORT PIERCE, FL 34982
77?-462-1 ? 53
Ui.EST TIOI ISE AI=I=IDAVIT
I hereby affirm that Building Permit 9
is to be issued for a guest house which k ill not be used for rental purposes. seasonally
Or annually=_ under any circumstances.
Print 0%vner s Nalle
STATE OF 171_ORIDA
COUNTY OF
Si�)n:rtare 40%vner
pp h�
The f re'-'oitr
irtst:u eirt waspcknowledged betbrefile this day of 2)
cUx tJ 3ersanal�- known to e erwht7ras de
as
identification.
SiLnat re
crf Notarc
Con3mt�,sion Number Notan Stamp
tAl1RIE HENI)ERSHOT
XEMY COMMISSION# GG M896
EXPIRES:J*4.2=
Wded Thm Notary PuDNe ffi w*ftm