HomeMy WebLinkAboutELEVATION AFFIDAVITBOARD OF
COUNTY
COMMISSIONERS
Elevation Affidavit
PLANNING & DEVELOPMENT
SERVICES DEPARTMENT
Building and Code Regulation
Division
RECENED
FEB 01 2022
St, P Gle County
Date � ����
Property Address 61-/6-oanLmcl-lo 2)oq. FL399a
Permit # AQ 01— ?)oA d'6-
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�-.
�1& z �, -
Signature of er
The foregoing instrument was acknowledged before me this -1 day of ' - -', , 20aa
by personally known to me or who has produced
L ` as identification.
Signature of N Public
aN63 5
Commission Num er
Website: www.stlucieco.aov
2300 Virginia Avenue - Fort Pierce, FL, 34982-5652
Phone (772) 462-1553 FAX (772) 462-1578