HomeMy WebLinkAboutRay Coburn Elevation AffdavitBOARD OF
COUNTY
COMMISSIONERS
Elevation Affidavit
Date 8/20z
Property Address 1404 HARTMAN RD FT PIERCE FL 34947
Permit #
PLANNING & DEVELOPMENT
SERVICES DEPARTMENT
Building and Code Regulation
Division
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.
Print Owner's Name
STATE OF FLORIDA
COUNTY OF . L cKc l Q
Si ture of Owner
nn h
The foregoing instrument was acknowledged before me this c (_ t day of u LkS 4- , 20
by cl CphU ` r-, personally known tome ( or who has produced
as identification.
Signature Notary Public
G C� q 6 (, ggcl
Commission Number
Notary Public State of Florida
Casey Binkley
• My Commission GG 906880
.a w4 Expires 08/22/2023
Website: www.stiucieco.gov
2300 Virginia Avenue - Fort Pierce, FL. 34982-5652
Phone (772) 462-1553 FAX (772) 462-1578