HomeMy WebLinkAboutFilled Lands AffidavitST: LUCK COUNT RECEIVSD
BUILDING & ZONIN
2300 VIRGWA AVEbtE JAN 14 2020
FORT PIERCE; FL 34982-565
772-462-1553 S . Lucie County, Permitting
FILLED I A TD'iS "PIDAVff
I, the undersigned, am the Owner of the following described property:
#1306-111—nnni_nnn/n.- ci,
(Tax ID/Legal description/Address) northeasterly y 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 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 prgvide,for, or maintain in any form, adequate drainage off my property which
will not adversely affect the immediate community.
Matthew Txle W3znna
Property Owner Name Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF St L1GjA
ACKNOWLEDGED BEFORE METHIS IDAYOF CE'Yn X 20 L-f
BY Mat h w T ' 1V a T4mxle WHO IS PERSONALLY KNOWNTO ME OR WHO HAS PRODUCED
nn ' S IDENTIFICATION.
Gam+ �GLa �- � ga-rx I NN �AsCI
SIGNATURE OF N ARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE
MY COMMISSION # GG 030145
EXPIRES: October 2, 2020
Bolded Thru Notary Public Undetvnllers
DOROTHYANN BASKIN
MY COMMISSION # GG 030145
EXPIRES: October 2, 2020