HomeMy WebLinkAboutElevation waiver-INCORRECT, NOT SIGNED BY OWNERBOARD OF
COUNTY
COMMISSIONERS
Elevation Affidavit
Date 2 2la ) 2 I
PLANNING & DEVELOPMENT
SERVICES DEPARTMENT
Building and Code Regulation
Division
PropertyAddress )32 01 Lhd i rah 0 V) �17e
Permit # Z 101r 03 q 3
The non -habitable / non-residential building (a
converted to a habitable dwelling unit unless it
to comply with the relevant elevation required
.Tasor, G�Ibtri'
Print Owner's Name
Geor9; 0.
STATE OF FLA9R D*
COUNTY OF -De catur
Flood Zone n o
1�J'ARi-
:) cannot be
a building permit
The foregoing instrument was acknowledged before me this 1-(4 day of YC bVb m .2011
by Non Cr 1 tx r ► personally known to me or who has produced
as identification.
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Website: www.stiuciew.gov
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