HomeMy WebLinkAboutElevation Affidavit - - - - PLANNING & DEVELOPMENT
BOARD OF SERVICES DEPARTMENT
COUNTY
COMMISSIONERS o a Building and Code Regulation
Division
Elevation Affidavit
Date % /0 — A02r',,7
NatwAProperty Address NOS U
Permit # -2/0- OS'S t 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.
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Print Owner's Name Sign ure of Owner
STATE OF FLORI A
COUNTY OF ,
The foregoing instrument was acknowledged before me this 1day of44,n, 20SR;?.
by 1 he r+D A r)�iE 10 personally known to me o who has produced
as identification.
Signature of Notary oublic
=otPa'vauc; AUDREY B.HUMPHREY
MY COMMISSION#GG 300817
Commission Number =gip. T EXPIRES:March 6,2023
rFOF F°� Bonded Thru Notary Public Under:rritecs R
Website:www.stiucieco.gov
2300 Virginia Avenue-Fort Pierce, FL. 34982-5652
Phone(772)462-1553 FAX(772)462-1578