HomeMy WebLinkAboutS Platt Elevation Affidavit (2)BOARD OF
COUNTY
COMMISSIONERS
COUNTY ^
F LOR I DA
PLANNING &
DEVELOPMENT
SERVICES
DEPARTMENT
Building and Code
Regulation Division
Date
Elevation Affidavit
Property Address 220 Emerald Ave Fort Pierce, PL 34945
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.
5.
Print Owner's Name Signature of Owner
STATE OF FLORIDA
COUNTY OF gj- I i,c ,e
,2®LThe foregoing instrument was acknowledged before me this & day of
by (^<T\P fb personally known to me \/ oir^ho Ms produced
as identification.
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Signature of Notary Public 0
0^ 0AS^C^5
Commission Number
Website: www.stluciecQ.gov
2300 Virginia Avenue - Fort Pierce, PL. 34982-5652
Phone (772) 462-1553 FAX (772) 462-1578