HomeMy WebLinkAboutElevation AffidavitBOARD OF
COUNTY
COMMISSIONERS
Date
Property Address,
Elevation Affidavit
Ca
Permit# i3a1-Gil-oroY-o�afa
PLANNING & DEVELOPMENT
SERVICES DEPARTMENT
Building and Code Regulation
Division
Flood Zone
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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 require --`
Print Owner's Name
STATE OF FLORIDA
COUNTY OF -,tzA.Vx P � ,
The foregoing instrument was acknowledged before me this _day of -R )U, 26n
iq 1� A� (, l_> �9 personally known to me _ or who has produced
y.— as identification.
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Signature of Notary Public
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Commission Number's MY CDMMISSIONUG4275060
EXPIPIS Deaem6er2o,2022
`•'•:°oivrv?�' Bonded ThuND1e7�U�devN
Websile: www.stlucieco.cov
2300 Virginia Avenue - Fort Pierce, FL. 34982-5652
Phone (772) 462-1553 FAX (772) 462-1578