HomeMy WebLinkAboutElevation AffidavitBOARD OF
COUNTY
COMMISSIONERS
Elevation Affidavit
Date i2, /a, z-z
PLANNING & DEVELOPMENT
SERVICES DEPARTMENT
Building and Code Regulation
Division
Property Address 7e05 A-t- Iir d- Atre� Ef. 3z9 s
Permit # Z t r 2- o o ,3 g
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 5�- L V UC,,
Signature of Owner
The foregoing instrument was acknowledged before me this ' day of �U� , 20 O%Q-
by__4 personally known to me or who has produced
(� as identification.
��, ELLEN VAUGHN
Signature of Notary Public ; �PaY
?a� �State of Florida -Notary Publi
_* Commission # GG 270079
�YCT�1�c 9rFo'i My Commission Expires
eetdber 2 902
Commission Number
Website: www.stiucieco.gov
2300 Virginia Avenue - Fort Pierce, FL. 34982-5652
Phone (772) 462-1553 FAX (772) 462-1578
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