HomeMy WebLinkAboutCrespi-Guest House AffPLANNING AND DEVELOPMENT SERVICES DEPARTMENT
O Building and Code Regulations Division
2.300 V'IRGINIA AVE
® FORT PIERCE. FL 34982
772-462-I553
GUEST HOUSE AFFIDAVIT
I hereby affirm that Building Permit a V C LA - C . ;.3.3
is to be issued for a guest house which will not be used for rental purposes. seasonally
or annually. tinder any circumstances.
Print O%%n 's Name
STATE OF FLORI A
COUNTY OF _ WC.\e, _
The foregoing instrument was acknowledged before me this -dF-j day of 20a1
by _,�i r personally known to me 1✓ 1 or Who hal produced
as identification.
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SI ITInD Re,,.ed „K'_4 ynl,
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