HomeMy WebLinkAboutGuest House Affidavitis
"V E
2021
VIA
:R
BY:
PLANNING AND DEVELOPMENT SERVICES
DEPARTMENT
Building and Code Regulations Division
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
772-462-1553
GUEST HOUSE AFFIDAVIT
I hereby affirm that Building Permit # C-� I o s — ®q q
is to be issued for a guest house which will not be used for rental purposes, seasonally
or annually, under any circumstances.
0"h S �cr e, vasqQa&
Print Owner'siName
STATE OF FLORIDA_1
E
COUNTY OF - l A i G e/
PUp�c
ROSERT MOLLET
�0.�*RY
Commission # GG 979200
Expires June 3, 2024
Nl'lFOF F`oT0
Bonded Thru Budget No1W Service:
The foregoing instrument was acknowledged before me this _� day of , 20�
by r h r i S16 dt' -FaSr aC personally known to me C—V) or who has prokluced
Signature of Notary
Commission Number
Notary Stamp