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COUNTY
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Elevation Affidavit
Date V /,5 lzoz
PLANNING &
DEVELOPMENT
SERVICES
DEPARTMENT
Building and Code
Regulation Division
Property Address 7 (� qLP1
Permit # 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.
ea- (4,1 6�_ �__f 73�
Pri t Owner's Name Signature of Owner
STATE OF FLf"D `
COUNTY OF
The g a ged before me this ` ' - day o 2�
by ft'personally known to me or who has produced
as identification.
'q►R . PG,''•.
Commission Num )'_0. ` KRISTINE HOPKINS
s Notary Public - State of Florida
�`'` Commission # HH 073152
My Comm. Expires Jan 25, 2025
Website: www.stlucieco.aov
2300 Virginia Avenue - Fort Pierce, FL. 34982-5652
Phone (772) 462-1553 FAX (772) 462-1578
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