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Elevation Affidavit
PLANNING & DEVELOPMENT
. SERVICES DEPARTMENT
Building and Code Reguiation
Division
Date 8 ka* � 20
,
Property Address all 0 -1-- &NMi%A (Dek A'e F z k eaceFL
Permit #,?��33 Flood Zone
The non -habitable / non-residential building (accessory structure) cannot,be
converted to a habitable -dwelling unit unless it is .modifie with a building permit
to comply .with the relevant elevation requirement.
Print Owner's Name Siona ire cif
STATE OF FLORIDA
COUNTY OF ST. L U CI.Lc-
The foregoing insttvment was acknowledged before me this PAM ay of-AkdrUSj , 20-20
personally, known to me )- or who has produced
as identification. -
ignature.o Notary Public
6ra.lo?'811g5
Commission Number
;•i*`•° KATHRYN E CARUANA
MY COMMISSION S GG128195
.�,,, EXPIRES July 25, 2021
Website: www.stlucieco:aov
2300 Virginia Avenue : Fort Pierce; FL.. 34982-5652
Phone (772) 462-1553 FAX (772) 462-1578