HomeMy WebLinkAboutFilled Land Affidavit f _r PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
R E C C 1\117 D MAR 2 2 7017 FILLED LAND AFFIDAVIT
I,the undersigned, am the owner of the following described property,
2804 Juanita Avenue(Parcel ID # 1432-806-0007-000-3)
(Parcel Id#/Legal description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number , I acknowledge
that as owner of the above described property, and in accordance with Section
7.04.01(D), St. Lucie County Land Development Code,I shall be responsible for assuring
adequate drainage so that the immediate community WILL NOT be adversely affected.
I further acknowledge that in granting this permit for the development of this property,
St. Lucie County is neither obliged nor liable to provide for, or maintain in any form,
adequate drainage off my property which will not adversely affect the immediate
community.
Uriel G. Rodriguez
Property Owner Name(Please Print)
03-21-17
Property Owner Signature Date
STATE OF FLORIDA,COUNTY OF St. Lucie
ACKNOWLEDGED BEFORE ME THIS 21st DAY OF March 20 17
BY Uriel G.Rodriguez WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
PRODUCED AS IDENTIFICATION.
j4 Roberto Cabrera
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
#FF 937865 COMMISSION NUMBER
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