HomeMy WebLinkAboutElevation AffidavitBOARD OF
COUNTY
COMMISSIONERS
Elevation Affidavit
Date S/2? &n I
Property Address 3 f 3 O b
Permit # Zlv(41- og6q
PLANNING & DEVELOPMENT
SERVICES DEPARTMENT
Building and Code Regulation
Division
Q'_ 0581
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 requirPmPnt
�& l 0Sue\
Print Owner's 1 ame
STATE OF FLORIDA
COUNTY OF�,r�
The foregoing instrument was acknowledged before me this o 1 day of 20A_
by personally known to me or who h s produced
1� as identification.
Signature of Not ublic
Gca-)ns®$1)
Commission Number
IAftWINORAMAAHMING
:.; MY COMMISSION O G0 275080 ,ry
' EXPIRES Dmmba 20.2022
Bonded7MulJ *P&ftUndeixaiters !`
Website: www.stiucieco.00v
2300 Virginia Avenue - Fort Pierce, FL. 34982-5652
Phone (772) 462-1553 FAX (772) 462-1578