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HomeMy WebLinkAboutElevation AffidavitPLANNIfo'G & DEVELOPMENT BOARD OF SERVICES DEPARTMENT COUNTY p ; COMMISSIONERS o © Building and Code Regulation - Division Elevation Affidavit Date y I IS 1 2-1 Property Address 1200 0&L- � Pt-gz� I FL 3 -+G 8`2- Permit # ?,] c)3- Cq 83 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 Signature of Owner STATE OF FLORWA COUNTY OFF. L—U �,► L The foregoing ins ru nt GV cknowledged before me this day of , 20 ��bypersonally known to me or who has produced IrL -6L-- as identification. Signature of Notary Public Commission Number `SPpY PU�� KAREN S. NIELSEN °,,!;,.,State of Florida -Notary Public *_ Commission # GG 207484 v� :,"""TV My Commission Expires oil June 12, 2022 ZZOZ'Zl aun I `a�11 ip316 seildx3 u01ss1wwo3 tiW 484LOZ JJ # uoisslwwoC _- !Ignd Aje10N-PP!J0H }o ale1S III1111 N3S-131N 'S N38d)i Website: www.stlucieco.gov 2300 Virginia Avenue - Fort Pierce, FL. 34982-5652 Phone (772) 462-1553 FAX (772) 462-1578