HomeMy WebLinkAboutGUEES HOUSE AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING &,COD.E REGULATIONS DIVISION
_2300_VIRGR41A-AVE------
FORT PIERCE, FL.34982
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I-heri . ng --Permit #
-that:Build
_ft.affirm
hwi not -lie used for rental purposes, seasolliffy',
is to be -issued -fora guest housevhk
or annually, 'und& any circumstances.
Print owner's Name
Signature of owner
STATE .OF FLO A
COUNTY OF LI)OZ,
The foregoing ins is
ay of
ld
ent was acknowledged before me this
To —me
by personally knownV- Or wl
as identification.
of-Nota
pature of Notary
DAWN BMfW Plige n a &W
IN COMMISSION # EE 133850 3 8S.S_-D
EXPIRES b rV,2015 Notmy St=P
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