HomeMy WebLinkAboutELEVATION AFFIDAVITPLANNING & DEVELOPMENT
BOARDOF SERVICES DEPARTMENT
COUNTY INTY
COMMISSIONERS . , Building and Code Regulation
Division
Elevation Affidavit SC 1v rU
By
Date I ( l4 sr U'C/e Colllnt ,
Property
Address 5009 Paleo Pines Cir, Fort Pierce, FL 34951
Permit # 1911-0066
Flood Zone X
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 ei
Thomas J Cichocii
Print Owner's Name
STATE OF FLORIDA
COUNITY OF
The foregoing instrumen was acknowledged before me this f q day of AJB JW ufr , 20 11
by 1' � ON1a S 3 C IV? Br, tk" personaily known to me or who bas produced
Cl, h L. asidmfificafim
Public
GG (osq z5--
Commission Number
*,,r
Erich Daniel Krach
NNOTARY PUBLIC
STATE OF FLORIDA
Comm# GGIO5925
Expires 5/17/2021
Website: www.stiucieco.nov
2300 Virginia Avenue - Fort Pierce, FL. 34982-5652
Phone (772) 462-1553 FAX (772) 462-1578