HomeMy WebLinkAboutFilled Lands AffidavitST:'LU.CIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
772-462-1553
RECENED
FEB 121010
P®mllttin9 D^artment
st, Wq1@ -gfitV
I, the undersigned, am the owner of the following described property:
#139ra---111_nnom_nnn 7n.' � I- -- - - _ _
(TaxID/Ugaldescription/Address) northeasterly of I-95
for which I have applied to St. Lucie County for a Final Development Permit. In accepting
this Final Development Permit, BP Number -gQ0)ra3j 0. 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 providefor, or maintain iaany form, adequate drainage off my property which
will not adversely affect the immediate community.
Matthew T j 7 e Wyjjnp
Property'Owner Name
Property Owner Signature Date
STATE OF RLORIDA, COUNTY OF St TllC�
ACRNOWLEDOED BEFORE METALS 30 DAY OF
BY Matthaw'r.:.l ,...-_--__--
SIGNATURE OF NOTARY
NOTARY PUBLIC TITLE
IDENTIFICATION.
20-a-;o
eM OR WHO HAS PRODUCED
TYPE OR PRINT NAME OF NOTARY
(SEAL)
COMMISSION NUMBER
"' •' 00ROTHYANN BASKIN
�"'• •� MY COMMISSION#GG 030145
+''• ERPIRES:,October 2. 2020
S" 9bMc0 Thru Notary Public Underentem