HomeMy WebLinkAboutElevationBOARD OF
COUNTY
COMMISSIONERS
County
F LOR I DA
Elevation Affidavit
PLANNING &
DEVELOPMENT
SERVICES
DEPARTMENT
Building and Code
Regulation Division
Date /o?' 3'
Property Address 300 N Header Canal RD Fort Pierce, FL 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.
Print Owner's Name Signature pf Own
STATE OF FLORID
COUNTY OF
)RIDA
S-t.lUFif,
aclcnow!edged before me this 3^^ J.V .fWfrmjr 2oUbynu^l(,;|(_^ ininpr IJ» personally known to me or who has produced
as identification.
Sfgrrature of Notary Public
Commission Number
KRISTIN BAITSHOLTS
of Florida-Notary Public
Commission # GG 278527
Commission Expires
"""" February 19, 2023
Website; www.stlucieco.qov
2300 Virginia Avenue - Fort Pierce, FL. 34982-5652
Phone (772) 462-1553 FAX (772) 462-1578