HomeMy WebLinkAboutSuthon Elevation AffidavitBOARD OF
COUNTY
COMMISSIONERS
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PLANNING &
DEVELOPMENT
SERVICES
DEPARTMENT
Building and Code
Regulation Division
Elevation Affidavit
Date to 5
Property Address 3000 Seminole Road Fort Pierce, PL 34951
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 Signature of Owner
STATE OF FLORIDA
COUNTY OV^fYm^
The foregoing instrument was acknowledged before me this ^ day of , 20 2-1
by /[T personally known to me or who has produced
as identification.
fure of Notary Public
Commission Number
H. LAUREL KNAPP
^ NOTARY PUBLIC
)g STATE OF FLORIDA
Comm# GG254399
Expires 8/30/2022
Website: www.stlucieco.gov
2300 Virginia Avenue - Fort Pierce, FL. 34982-5652
Phone (772) 462-1553 FAX (772) 462-1578