HomeMy WebLinkAboutT Trefelner Filled Land AffidavitPLANNING & 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,
1407-313-0015-000-1 / 5480 Slash Pine TRL Fort Pierce, FL 34951
(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 , 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.
Tristen Trefelner
Property Owner Name (Please Print)
5/14/2020
Property Owner ipature Date
STATE OF FLORIDA, COUNTY OF 51 • L-�C--
ACKNOWLEDtGED BEFORE ME THIS i �k DAY OF MGL 20 ,
BY ��� 5 L . �� e—PlI y1'C T WHO 1S PERSONALLY KNOWN TOME 0 OR WHO HAS
PRODUCED
AS IDENTIFICATION.
Co 11 ee-✓X H 0- 4'e S
SIGNATURE OF NO ARY PUBLIC TYPE OR PRINT NOTARY
V 2 7 7 2 COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
S•
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Notary public State of Florida
colleen Sue Hayes
My Commission GG 287729
Expires 03115/2023