HomeMy WebLinkAboutElevation Affidavitr
�� PLANNING & DEVELOPMENT BOARD OF SERVICES. DEPARTMENT
COUNTY N
COMMISSIONERS . . Building: and: Code Rdglulation
.'Division
Elevation. Affidavit
Date
Property, -Address- -I m f f.Y1.7 5v
Permit # - Flood Zone.
Thenon-habitable: /. iron -presidential building .(accessory structu re) .cannot `be.
converted to ahabitable dwelling .unit:unless:it_is,modified'with�.buildingpertnit
to _coinply. With the. relevant. elevation requirement:
e
Print Owner S.Name. Signatur of Ovuner
. STATE:OF FLORMA
C0LTNTY.0F C % i'lyialc?.�
The foregoing instrument was ac owledged before:me this . da . of ja +"'t3r ,�L. 20
f (..
by C All-e.. i Y y)� i' i k Q G�
`� „msonally.known tome or who has produced .
as identification:
oi"•�" MELODY L. DAUGHERTY
Signature Of NO Public Commission # GG 313218
` oo Expires July 17, 2023
y v ^SQ °` `O'' Bonded ihru Troy Fain Insurance 000.385.7019
Commission Number.
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