HomeMy WebLinkAboutFILLEDLAND.Schmitt@Poinciana.notarizedPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRG241A AVENUE
FORT PIERCE, FL 34952-5652
(772) 462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
1334-502-0075-000-6/9504 POINCIANA CT., FORT PIERCE, FL 34951
(Parcel IdWLepl 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 fiuther 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 (Please Print)
Property Owner SignaWe Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME TyHIUS_ .r Lot - DAY OF � � C � 1 ^ Z6 �' d
BY ���y— F- S Qy"N 1' L ,`-y� WHO IS PERSONALLY KNOWN TO ME (EJ OR WHO HAS
PRODUCED F L- bgwM- I I AXIS r, AS IDENTIFICATION.
gI- RY LICC6
-1 CONSCSSION NUMBER
SLCPDSD Revised 04/I V2011
TYPE OR PRINT NOTARY
(SEAL)
LUCIADELEON
p` 6
PG Notary Public, State 01 Floods
Commission# GG 47221
14, 2020
9xDiies Nov.