HomeMy WebLinkAboutELEVATION AFFIDAVITU
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Elevation Affidavit
Date as
Property
Permit # Iq 0-1— D L 8S
PLANNING & DEVELOPMENT
SERVICES DEPARTMENT
Building and Code Regulation
Division
SGANWhU
BY
St. LudeComb
Flood Zone
co,F �_ PCT9 5�
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.
'1
rs
Prin Owner's'Name
Namee
STATE OF FLORIDA
COUNTY
2k
of Owner
The foregoing instrument was acknowledged before me this --ay
c ay of ��Q1'�, 20�
by \ cJ I (S personally known to me or whoXas produced
l 1 _ _DL (07_ a- D3 — D as identification.
Commission Number
o4laray� FLORFMGARODROM
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Website: W .Stlucieco.goy
2300 Vagniu Avenue - Fun Pierce. FL. 34982-5652
Phone (772) 462-1553 FAX (772) 462-1578