HomeMy WebLinkAboutGuest House Affidavit i
I 1
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#
is to be issued for a guest house which will not be us d or r to purposes, seasonally
or annually,under any circumstances.
Nc(njc�m &6�es
Print Owner's e Signatur 'r
STATE OF FLO DA
COUNTY OF �
The foregoing instrument wa cknoyiledged before me this Dday of 20�
by fnkAqk�personallyy known to me(__) or who has prod6c d
as identification.
Signature of Notary
Commiss' n umber Notary Stamp
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SLCPDSD Revised 08/24/2010