HomeMy WebLinkAboutElevation AffidavitBOARD OF
COUNTY
COMMISSIONERS
PLANNING & DEVELOPMENT
SERVICES DEPARTMENT
Building and Code Regulation
Division
Elevation Affidavit
'Date �ed /.9 , pall
Property Address.T I3 dleLli'�� %��. / �iefce, R
Permit # 2 142� O 3
Zone
Flood
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 9+, LU Cz
Signature of Own r
The o_ jegoing instrument was acicaowle ged before s 3 day of ��20 2,1
by�Iayw sod C C ) ( p�r o a mown tome or who has produced
I[W htta n yw4VS UC0 IL}C as identification.
M.
C
Signs a of NotaryPublic
C C)gl1alts
Commission Number
o pRy Kristy L Contreras
ova �� NOTARY PUBLIC
c oSTATE OF FLORIDA
y ? Comm# GG917815
'P�HCE tej-b Expires 10/3/2023
Recelvea
FEB X 71011
Website: m6 w atludeco,gov ��F}hlttl
2300 Virginia Avenue - Fort Pierce, FL. 34982-5652 Tpa melt
Phone (772) 462-1553 FAX (772) 462-1578 County