HomeMy WebLinkAboutelevation affidavitBOARD OF
COUNTY
COMMISSIONERS 0 R,
Date(/;�;,
Property Addre
Permit #
Elevation Affidavit
PLANNING &
DEVELOPMENT
SERVICES
DEPARTMENT
Building and Code
Regulation Division
tfq , 7
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 Owner's Name S ature Owner
STATE OF FLORIDA
COUNTY OF 57,
The foregoing instrument was ac o }edged before me this zb day of ( (WC-4 20 Z/
by �1 9 [.Vi` �r D personally known to me or who has produced
as identification.
Signature of Notary Public
G-G `�2I .��►� 1�
State of Floft
Commission Number MyOmmiWon E)#ms 04/1012021
C mdsft No. GG gal
Websife: www.sfl
2300 Virginia Avenue - Fort Pierce. FL, 34982-5652
Phone (772) 462-1553 FAX (772) 462-1578