HomeMy WebLinkAboutElevation AffidavitPLANNING 1. DEVELOPMENT.
BOARD Oi:' SERVICES DEPARTMENT:
COUNTY
COMMISSIONERS. Building.and Code.Regulation .
DiVIeion.
Elevation. Affidavit
Date 2Ka.-'ail I.
Property Address r1)(a .�1 i r�. f�C1<l�l.v ti.u}5 9.
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Permit.# FloodZoned.
The non -habitable 1 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. -
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Print Owner'. s Name Signa of Owner
STATE.OF LORIDA
COUNTY OF C.(> (- i 113 I�
The foregoinginstrument w .acknowled ed liefore me ibis 2 - .da .of ' .�-? ("t�t'4 . .
� g (,20. b,;4.
personally knownxo me or -who . has produced
as identification..
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Signaturb ofNotery Public ;dFPG MELODY L. DAUGHERTY
t �"` commission # GO 313218
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