HomeMy WebLinkAboutElevation AffidavitBOARD OF
COUNTY
COMMISSIONERS
Elevation'Affidavit
Date` _
Building and Code Regulation
PLANNING &DEVELOPMENT-,
SERVICES DEPARTMENT
Division
RECEIVED
. AP-R -0 6- 2022_.__._._ _.. _ .. _ ..... _ ..._ _.._._
9t, Lucie County
Permitting
Property Address 4!5)0
Permit # a?o?01_;? _4 yr 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 comp ly •with the relevant elevation requirement.
rint Owner's Name Signature of Owner
STATE OF FLORIDA
COUNTY OF 5-�,
The foregoing instrumentt was acknowledged before me this ca day of 44 r.``. , 20;
by 1e <� a-\n �, a ,n S personally known to me or who has produced
as identification:
Signature of NoUy Public
Commission u
Yv� DEANNA GIVENS
t►g 6 .,
Notary Public State of Florida
aos' Commission HH 086359
'y? ov �°p' MY Comm. Expires Jan 28, 2025
. •�����!,ded through National Notary Assn.
Websitec www.stiucieco.ciov
2300 Virginia Aden ue- Fort Pierce, FL. 34982-5652
Phone(772)462-1553 FAX(772)462-1578