HomeMy WebLinkAboutElevation AffidavitBOARD OF
COUNTY
COMMISSIONERS
Elevation Affidavit
Date 2-1
Property Address 1 O (014
'lQ-CGL'i
Permit # P- 1 0 5-- b 9 23
PLANNING & DEVELOPMENT
SERVICES DEPARTMENT
Building and Code Regulation
Division
k VV�"'- C0v'i. La1^e
V-- 1_. 3 9
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
STATE OF FLORIDA
COUNTY OF 2A— Lvb e
Signature of 6wher
The foregoing instrument was acknowledged before me this l day of , 20
by NP&jC.,., (-,mil A.IV aahN.So4erssl "@**4& ✓or who has produced
4 �'qal
Signature of Notary u lic
L4
Commission Number
as identification.
KARINA J. ARROYO
Notary Public . State of Florida
Commission # HH 019674
MY Comm. Expires Jul 9, 2014
Bonded through National Notary Assn.
Website: wnnw.stlucieco.gov
2300 Virginia Avenue - Fort Pierce, FL. 34982-5652 `
Phone (772) 462-1553 FAX (772) 462-1578