HomeMy WebLinkAboutElevation AffidavitBOARD OF
COUNTY
COMMISSIONERS
Elevation Affidavit
Date 2� i A A om--2
PLANNING & DEVELOPMENT
SERVICES DEPARTMENT
Building and Code Regulation
Division
Property Address /9'7C6 /t4& M ,G UE
Permit #
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 Signature of Owner
STATE OF FLO DA
COUNTY OF T4L - I wA_ i e
The foregoing instrument was acknowledged before me this day of , 20
byy�,a S� ��! MC G�aPrT�-I- personally known to me o who has produced
as identification.
AUDREY B. HHREY
5 A
MYCOMMISSION#UMPGG3008W
.EXPIRES: March 6,2023
Signatureof Nota Public ••f � Bonded Thru Notary Public Undenvriters
Commission Number
Website: www.stlucieco.gov
2300 Virginia Avenue - Fort Pierce, FL. 34982-5652
Phone (772) 462-1553 FAX (772) 462-1578