HomeMy WebLinkAboutElevation Affidavit-•-• • �ST.LUCIE
• COUNTY l
• • F L O R I D A
Date I t10
Property Address
Elevation Affidavit
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Permit # d 0( -- O 3 V-1
rL.ANNiNU & Ur_Vr_LVrmtN I
INRVICES DEPARTMENT
Building and Code Regulation
Division
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 SI L-u - ` c—
Signature of Owner
L_ r .
The foregoing instrument was acknowledged before me this 7Q "^ day of reto(Ill , 20 ')-a
by l ` • w v % personally known to me or who has produced
D I `... as identification.
Signature of Notary Public
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Commission Number
N=!p1sofPublicFlorida,�� � Cv�` M87729�p�Fd E
Website: www.stlucieco.gov
2300 Virginia Avenue - Fort Pierce, FL, 34982-5652
Phone (772) 462-1553 FAX (772) 462-1578