HomeMy WebLinkAboutElevation AffidavitBOARD OF
COUNTY
COMMISSIONERS
Elevation Affidavit
Date G 0, 11 ki 0�2
PLANNING &
DEVELOPMENT
SERVICES
DEPARTMENT
Building and Code
Regulation Division
Property Address (AY� I am.P,,- caee z Q2...4 geoa 2L,��#G<4 !i
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
STATE OF FLORIDA
COUNTY OF Jtc'j'e1t t ar-i•c
Si ature of Owner
tN
The foregoing instrument was acknowledged before me this f` day of, reh , 20dI
by personally known to me c1 or who has produced
, Z7 i tk r S IL i'C< n iG as identification.
ignature of otary Public
�ssionKN*AAE WARD
* Commission # GG 243778
�Ae Expires August20,2022
891dWTtwuOudpelNolry$9010M
Website: armv.sllucieco.aov
2300 Virginia Avenue - Fort Pierce, FL. 34982-5652
Phone (772) 462-1553 FAX (772) 462-1578