HomeMy WebLinkAboutELEVATION AFFIDAVITPLANNING ,& DEVELOPMENT
BOARD OF SERVICES DEPARTMENT
COUNTY COUNTY
COMMISSIONERS e . Building and Code Regulation
Division
Elevation Affidavit
Date 3 1 a,'C b4==n
Property Address
Permit #� Flood Zone
The non -habitable / non-residential building (accessory st-ucture) cannot be
converted to a habitable dwelling unit unless it is modified with a building permit
to comply with the relevant elevation requirement.
Ar ,v A fv c t! Z>"—,>
Print Owners Name Signature o ,,Owner
STATE OF FLORIDA
COUNTY OF S;k . o
The foregoing instrument was acknowledged before me this day of , 2(-1
by,,, 1 personally known to me or who has produced
as identification.
Website: www.stlucieco.gov
2300 Virginia Avenue - Fort Pierce, FL. 34982-5652
Phone (772) 462-1553 FAX (772) 462-1578