HomeMy WebLinkAboutELEVATION AFFIDAVITPLANNING & DEVELOPMENT
BOARD OF SERVICES DEPARTMENT
COUNTY
COMMISSIONERS Building and Code Regulation
Division
Elevation Affidavit
Date U ��sr. L
Property Address ��S Tc.� /'rc'C'P
Permit # % i� Flood S
Zone
St.
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.
RECEIVE[).
NOV 0 5 2019
Lucie County, Permitting
CANNED
BY
Lucie Counttr
jGC O� M11
Print Owner's Name Signature of Owner
STATE OF FL
COUNTY OFO D C {L
The�itrum acknow dged before me this day of 20L1
by Ipersonally kno%m to me _ or who has produced
as identification.
Signature of Notary Public
r"�. KAREN S. NIELSEN
�\\�;State of Florida -Notary Public
'„�tlD'•-` Commission Al GG 207484
Commission Number `l®�o�c: My Commission Expires
June 12, 2022
Web511e:yA. Iuaew qOy
2300 Virginia Avenue - Fort Pierce, FL. 34982-M52
Phone (772) 462-1553 FAX (772) 462-1578
J -