HomeMy WebLinkAboutFilled Land Affidavit PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building&Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
1, the undersigned, am the owner of the following described property,
3302 meadow lane,fort pierce,17 35 40 N 1/2 OF S 1/2 OF SE 1/4 OF NE 114 OF NW 1/4-LESS W 430 FT AND LESS E 30 FT AND LESS S 15 FT-(28)(0.69 ACI
(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 , 1 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.
qamar wahaj
Proper Owner Name(Please Print)
3/22/2018
Pr erty Owner Signature Date
STATE OF FLORIDA,COUNTY OF Saint IUCIe
ACKNOWLEDGED BEFORE ME THIS 22nd DAY OF march __'2018
BY QAMAR WAHAJ WHO IS PERSONALLY KNOWN TO ME(P(l OR WHO HAS
PRODUCEDG AS IDENTIFICATION.
SIG ATUR F OTARY PUBLIC TYOR PRINT NOTARY
Sl�oCOMMISSION NUMBER
E' LAK KHOSA
Notary Public State of Florida
Commission#GG 027824
RECEIVED -- MComm.Expires Sep 7.2020
SLCPDSD Revised 041 1/2011 M"'.n Bonded through National Notary Assn.
MAR 2 6 X018
ST. Lucie County, Permitting