HomeMy WebLinkAboutELEVATION AFFIDAVITBOARD OF
COUNTY
COMMISSIONERS
Elevation Affidavit
Date � 131 ICI
PLANNING & DEVELOPMENT
SERVICES DEPARTMENT
Building and Code Regulation
Division
Property Address_ a .5 (o Ra
Permit # 0` ACT- 00 58'
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 Owner's Name
STATE OF FLORIDA
COUNTY OF S�- W CJP-
Signature of Owner
The foregoing instrument was acknowledged before me this 51 day of CL 20QA
by SOhV-) N � personally known to me or who has produced
L �L as identification.
OLAM Signature of No Public
Commission Number
State of EN V
Florida UG
Mm ossio d# Notary pub/
etA mission F270079
Website: Www-stlucieco.Qov
2300 Virginia Avenue - Fort Pierce, FL. 34982-5652
Phone (772) 462-1553 FAX (772) 462-1578.