HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 RECEIVED
FILLED LAND AFFIDAVrr MAR 0 2 2020
ST. Lucie County, Permitting
I, the undersigned, am the owner of the following described property,
3932 Shoreside DRTARPON FLATS SUBDIVISION (PB 69-27) LOT I (OR 4
(Parcel W/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.
1�nece�a L. 6;tbbon
Property owner N (Pleas Print)
�Aua� o
Ploperty Owner Signature Date
STATE OF FLORIDA, COUNTY OF / / WL�
ACKNOWLEDGED BEFORE ME THIS S DAY OF
BY
PRODUCED
TYPE OR PRINT NOTARY
\(E (") OR WHO HAS
3i?S�Pvri,' JAMES ROUAN
M1(9EWSION # GG 008627
EXPIRES:November4,2020
Bonded Thor Notary Public Underwriters
SLCPDSD Revised 04/112011