HomeMy WebLinkAboutELEVATION AFFIDAVITBOARD OF
COUNTY
COMMISSIONERS
Elevation Affidavit
Date
Property Address 3 "
PLANNING & DEVELOPMENT
SERVICES DEPARTMENT
Building and Code Regulation
Division
sGANNED
BY
St- ►_Ildecounty
Flood Zone
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 i .J2vl ALC(hlontl ir�J2.
Print Owner's Name —I I
, -
STATE OF FLORIDA
COUNTY OF a / .
Signature of Owner
The for oing insrytrU,�'e-nt was cknowledged before me this I_day o 20�
by � &V Zb 1a yj�$( personally known to me N or who has produced
identification. as
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Signature of Notary Public
CHRISTINA FREEMAN
MY COMhaS'Aim �dSION# FF953411
RXPIRFS:raaaary27, 2020
Commission Number Ps
Website: w .stluciecoq_ov
2300 Virginia Avenue - Fort Pierce, FL. 34982-5652
Phone (772) 462-1553 FAX (772) 462-1578