HomeMy WebLinkAboutELEVATION AFFIDAVIT _--------- DEVELOPMENT
......W ____ PLANNING 8�
BOARD OF - SERVICES DEPARTMENT
COUNTY COUN
COMMISSIONERS a Building and Code Regulation
Division
RECEWD
Elevation Affidavit JUL 2 3 2021
st.Lucie County
Date ? a,Q—c9bpa ( Permitting
Property Address Sc,aS Ems.-ecso r
Permit.# 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 Owners Name Signature of Owner
STATE OF FLORMA
COUNTY OF :jq\jL(1h D:c V,C rr
The foregoing instrument was acknowledged before me this aa� day of 20--a[
by 3S VW1&4-h � personally known to me y or who has produced
as identification.
Signature of Notary Public
I oVVr P4� Notary Public State of Florida
Michelle L Jurkiewicz
• My Commission HH 011312
Commission Number ��arM1d�P Expires 06/16/2024
Website:www.stiucieco.gov
2300 Virginia Avenue-Fort Pierce, FL. 34982-5652
Phone(772)462=1553 FAX(772)462-1578