HomeMy WebLinkAboutGuettlerGuestHouseAffidavitPLANNING 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 # 62 1 N 0 `a55�
is to be issued for a guest house which will not be used for rental purposes, seasonally
or annually, under any circumstances.
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Print Owner's Name Signature of Owner
STATE OF FIFO
COUNTY OF — II
Th regoing ins ment w ckn+�'ledged before me this — day of 20�—
byQ,� � P V personally known to me (_) or who has pr uced
as identification.
KERRI ANN FJTR_'_L
Number 2 ` �To stir state of Florida
:�" iit moo; omm or
> GG 32255a
My Comm. Expires Apr 11. 2023
Bonded through Natiorai Notary Assr.
SLCPDSD Revised 08/24/2010