HomeMy WebLinkAboutFilled Land Affidavit ST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
® FORT PIERCE,FL.34982-5652
o o 772-462-1553
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- - FILLLED-LA"SA" -DA* -- -._. --
I,the undersigned, amL the owner/of the forpr;e
scribed proper yt :
i'r.el /CL 3 ( 7
(Tax IDgal description A-ddress)
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 farther 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.
Property Owner Name Property Owner Signature Date
STATE OF FLORIDA,COUNTY O /
ACKNOWLEDGED BEFORE ME THIS--�e —DAY OF4?g2%;L 20!
BY WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
j
_'�J lCn' A Q � AS IDENTIFICATION.
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SIGNATURE OF NOTAFV UWE OR PRINT NAME OF NOTARY
(SEAL)
NOTARY PUBLIC TITLE COMMISSION NUMBER
AUDREY B.HUMPHREY
.: MY COMMISSION#FF 174772
EXPIRES:March 6,2019
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Bended 7hru Notary Public Underwrite
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NOTES:L NORTHAS SHOWN IS REFERENCED TO THE PLAT OFCOASTALCOVES UAUT No.1.
I SURVEY PERFORMED WITHOUT BENEFIT OF DUD.
3,PROPERTYSERVICED WrM MUNICIPAL WATER.
JACKSON WAY50R/W
C&VTERIME OPRIGHTOF WAX____ ... CFNTE�rEOPRIGHTOFWAY
.
EDGE OP ROAD
LONG
DRNR sr
10•v(PIAT) ao0(CALL lATED) -._.., (') �M.
.!—;200.00' 200.04'
\ RIGHT OF WAY LINE
POUND ySEr",RMS REBAR
CONC PFS d8b9
S RESER
FOUND SR®AR DRIVE N POFIND
NUMBERS NOCAP n NUMBERS LEGEND
4EBARNOCAP S .. COWTUMWTAY REBARNO u-avge
20.8' CAP cR-aeDv�ewwnx,
RM14•KAiWKe1CPtP
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PAD i IN.ro brut
15fORYHOM1i A :� a:ox�•..��
b H 919JAC8'SONNYAT p, na•rwmaxanaano,
LOT 26 _ �"
�`� ' r. LOT 25 a LOT 24
5 mNa:�anwa,
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\ CONCREIZ
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CONCRETE
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WATERWAY
REMA
FLOODZOME A84
C-PO 1201110DI811
I EFFECTWE DAM 8.4.59 45-12
CERTERED M EDWIN P.WORTH&PAMBLA P.WORTH BURVEYOR9 CERTW CAM
advised NO structures
COUNri$ANR,II$SUCCESSORSAN,DJORAS5IGNSAS Applicant has been �yu••::�tlr lHm.rcroewoo„nmrwar.e..uw..an.
TFLF, 1NTERESTSMAYAPPEAR y ment Of , �c# J ,``"
OCEANSIDE TIILEAND ESCROW,INC erected Within an ease I .�rmoar�asaw<.mrw,ws.l�.sx:moi..,
Can be . f .-�; +• �° I mlanz.wraPrgy[KCW{Ar.D7ih1Wr6
ALLIANTNATIONALTIIZEINSURANCECOMPANY right of way unless otherwise approved- xPtS�{ '�..
'.�L .:.• :r:' COVES UNIT 1
Applicant Initials .�, � ry� G!@LLWL.W�R[pomt
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9/29/16
:an ssrs nrnaepw�wr ram aa�a.
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RECORDSURVEY FOR VICKERING&ASSOCiia�TESTIP H" P12OU$91ONALLUND 3i'RVE}7NG 16-442TP MIR +'sateaAn�,nxul NMI Ut
1=20 9x2911 EDWINP.WORTH&PAMELA P.WORT
RAY. D:1(rE pEKC;RtFFIdN• R1' F.i'&PC:, T.L41i VU. mltRpmmo.