HomeMy WebLinkAboutElevation Affidavitf_y
BOARD OF
COUNTY
COMMISSIONERS
Elevation Affidavit
Date 51 i �
Property Address
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.
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Print Owner's Signature of Owner
STATE OF FLORID
COUNTY OF StL.0 F A�
The foregoing instrument was acknowledged before me this 1 day of `r,/�, 20. g?
by personally known tome or who has produced
(� as identification.
Signature of Notary Public
Commission Number
Website: www.stlucieco.gov
2300 Virginia Avenue - Fort Pierce, FL. 34982-5652
Phone (772) 462-1553 FAX (772) 462-1578
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=State of Flori VA64 HN
COmmiion # GG 27pp bl
MY Comm-ssion 9
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