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Elevation Affidavit
Date � ac);�o
Property Address xxxx BALD CYPRESS TRAIL FT PIERCE FL 34951
Permit #
PLANNING & DEVELOPMENT
SERVICES DEPARTMENT
Building and Code Regulation
Division
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.
Print Ov er's Name *ae O ner
STATE OF FLORIDA
COUNTY OF S+ . Ltj. L I C�
The foreizoing instrument was acknowledged before me this G.. 3 day of O `✓EWff, 20_2�):
by . ` E p t sC o pc!) personally known to me _X__ or who has produced
as identification.
Signature of Notary Pu is
H NO3�QS/
' �y111l11/
Paula S. Breier
b��YP� Co m #H 03i951
Commission Number
' Sept15, 202d
°�nlsam� Bonded Ttnv Aaron Notary
Website: www.stluciero.gov
2300 Virginia Avenue - Fort Pierce, FL. 34982-5652
Phone (772) 462-1553 FAX (772) 462-1578
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