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BOARD OF
COUNTY
COMMISSIONERS
Elevation Affidavit
Date ITOW
PLANNING &
DEVELOPMENT
SERVICES
DEPARTMENT
Building and Code
Regulation Division
Property AddreSS 6603 S INDIAN RIVER 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.
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Print Owner's Name igna
STATE OF FLORIDA
COUNTY OF Mux,,,. _�qLt
The foregoing instrument was ackpowledged before me this1Jp day of
by e v\we.yr� Y personally known to me A,
I,� 1�--� Li.1 r
as identification.
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Signature of Notary Public
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Commission Number
WALTER VELEZ
s. Commissbn # GG 059319
! Expires January 3, 2021
aondod Ttn Troy Fain Insurance 800365.7019
Website: www.stlucieco.gov
2300 Virginia Avenue - Fort Pierce, FL. 34982-5652
Phone (772) 462-1553 FAX (772) 462-1578
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