HomeMy WebLinkAboutelevation waiver (1)BOARD OF
COUNTY
COMMISSIONERS
Elevation Affidavit
Date 3 I 21
PLANNING & DEVELOPMENT
SERVICES DEPARTMENT
Building and Code Regulation
Division
PropertyAddress 13 2 o1 S, 1 a i A h /2;ye a -9h-&
Permit #_ 21 U Z - D 31 z
Flood Zone h o
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 O er's Name
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COUNTY OFD2�
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Signature of Owner
The foregoing instrument was acknowledged before me this I s day of Ma ✓C � 20 2
by Audv� 1201 IS n 5 ersona own to me or who has produced
1 tC2{1 L as identification.
of Notary
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Zn: GEORGIA
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Website: w ,Stlucieco cov
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Phone (772) 462-1553 FAX (772) 462-1578