HomeMy WebLinkAboutGUEST HOUSE AFFIDAVITBUILDING & CODE REGULATIONS DMSION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
SCgIVNED
St L
GUEST HOUSE AFFIDAVIT uc a County
I hereby affirm that Building Permit # 190 I O1--6D
is to be issued for a guest house which will not be used for rental purposes, seasonally
or annually, under any circumstances.
Print Owner's Name Signature of Owner
STATE OF FLOR,1 _
COUNTY OF AuGe ��/qqq
The foregoing instrument was acknowledged before me this J~ day of Feb 20
by personally known tome or who has produced FL
, _ - �, . •+ as identification.
i atureofNotary
Commission Number NotoryStamp
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beerr200.20022
SLCPDSD Revised 08242010