HomeMy WebLinkAboutElevation waiver, incorrect signatureBOARD OF
COUNTY
COMMISSIONERS
Elevation Affidavit
Date 01
PLANNING & DEVELOPMENT
SERVICES DEPARTMENT
Building and Code Regulation
Division
Property Address ) 3 2 0_� T hd i a h r v.e ,( -Drri \/-e-
Permit # Z f vz 03 q 3
Flood Zone n 0
The non -habitable / non-residential building (accesso
converted to a habitable dwelling unit unless it i odi
to comply with the relevant elevation requir ent.
Sason G; I ber+
Print Owner's Name Lsi
G,--orgi _
STATE OF F -6�
COUNTY OF Deceduy-
:) cannot be
a building permit
f Owner
The foregoing instrument was acknowledged before me this Zt? day of fie by"A , 20 21
- - -
by 1 on (�:, l be r k- personally known to me or who has produced
1' ee sc A as identification.
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