HomeMy WebLinkAboutElevation affidavitBOARD OF
COUNTY
COMMISSIONERS
Elevation Affidavit
PLANNING & DEVELOPMENT
SERVICES DEPARTMENT
Building and Code Regulation
Division
Date APLV3 aDaO
Property Address
Permit #,01z 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
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Print Owner's Name
STATE OF FLORID
COUNTY OF S
The foregoing instrument was acknowledged before me this Z day of bC,'" bW , 20 0'10
by 6haG{ personally known to me V7., who has produced
as identification.
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;i �. ANGE-A R. STRIKER
:?� • `F Notary Po611c - State of Florida
Signatur of Notary Public
,y `? Commission It GG 350071
'!oF My Comm. Expires Jun 30, 2023
Banded through National Notary Assn.
350 07/
Commission Number
Welosite: w stludeco.cov
2300 Virginia Avenue - Fort Pierce, FL. 34982-5652
Phone (772) 462-1553 FAX (772) 462-1578