HomeMy WebLinkAboutELEVATION AFFIDAVITPLANNING & DEVELOPMENT
BOARD OF SERVICES DEPARTMENT
COUNTY COUNTY
COMMISSIONERS F L . R I , Building and Code Regulation
Division
Date 9 ) a)9.
Property Address_
Elevation Affidavit
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Permit # rycrQ 0-
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Flood Zone
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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.
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Print Owner's Name
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Signature of Owner
The foregoing instrument was acknowledged before me this / of day of c tdQ - 206.
by Q R 04 b V I/L Ise personally known to me or who has produced
as identification.
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Commission Number
AUDREYB.HUMPHREY
''' _ MY COMMISSION # G 3 300817
+o EXPIRES: March 6, 2023
Rei, • Eanded Thru Notary Public Under"ters
Website: www.stiucieco.gov
23CO Virginia Avenue - Fort Pierce, FL. 34982-5652
Phone (772) 462-1553 FAX (772) 462-1578