HomeMy WebLinkAboutAPPROVED, Elevation AffdavitBOARD OF
COUNTY
COMMISSIONERS
Elevation Affidavit
PLANNING &
DEVELOPMENT
SERVICES
DEPARTMENT
Building and Code
Regulation Division
Date �-111� % 2 G u �
Property Address AC?(Y�1onGn CT Q} � ' aC,1e- PL '. A
Permit #
Flood Zone X
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
STATE OF FLORIDA
COUNTY OF LI )C ,�
Signature of Owner
The foregoing instrume>\C� as acknowledged before me this day of 1' \ , 20 a
by (� l > personally known to me or who has produced
I \ c eyas identification.
"CL E4�WP�,,otary PuGlic State of Florida
Signature otary Publiclizabeth RobertsMy Commission GG 937056xpires?2/04/2023
Commission Number
Website: www.stlucieco.aov
2300 Virginia Avenue - Fort Pierce. FL. 34982-5652
Phone (772) 462-1553 FAX (772) 462-1578