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HomeMy WebLinkAboutFOUNDATION ONLY AFFIDAVITand Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 • Phone: (772) 462-1553 Fax: (772) 462-1578 - @0ANN@© BY St. Lucie County Foundation only affidavit for residential accessory structures I C'i t� Permit No. t] Cy 55 I /. s yV�w understand that I am proceeding with the foundation at my own risk. I understand that there is no assurance that my permit for the entire structure will be granted and that I accept full responsibility for any changes that are required in the design including but not limited to elevated 18 inches above the crown of the road or above flood elevation. The foundation must meet the requirements of the engineered drawing submitted at the time of permitting. Please be advised minimum required setbacks must be met for any future structure in accordance with the applicable zoning district. U15 /t VY1U ct V\, Contractor/Owner Builder STATE OF FLORIDA 11 . - COUNTY OF 9T UT. k.— The forgoing instrument was acknowledged before me This Adayof' Cleipj 20!�\by (Name of person acknowledging) (Signature of Notary Public -State of Florida) Personally Known OR Produced Identification Type of Identification Produced i(�%S Commission No.&-L 2-7 Oq/gSeal) �i:'1°.... -ELLEN VAL2022 ;�e aState of Flarlde•c 3• •E Commiselon 0 My Commlael , October 2