HomeMy WebLinkAboutGUEST HOUSE AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 VIRGINIA AVE
FORT PIERCE, FL 34982
GUEST HOUSE AFFIDAVIT
RECEIVED
JUL 01 2019
ST. Lucie County, Permitting
SCANNED
BY
I hereby affirm that Building Permit # � `1 0 l - ()l J L b St. Lucie Counh
is to be issued for a guest house which will not be used for rental purposes, seasonally
or annually, under any circumstances.
/llfl -2 / /9Pz c 2 �Z�
Print Owner's Name S' ature of Owner
STATE OF FLORIDA
COUNTY OF !3 Lltde-4a
The foregoing insJtpment was acknowledged before me thisa� r ay of� /�i Vv` 20J-q
by _ in Ei f/�2 r=r personally known to me wl or who has produced
as identification.
Sipr1eNtatx 7
CojnmiissionNumber Notarystamp
ARAM J HOFF
W
ptMISS10NN FF91ES SWtembK 01• nMd�
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SLCPDSD Revised 0824R010