HomeMy WebLinkAboutFilled Land Affidavit StefaniPLANNING & DEVELOPMENT SERVICES DEPARTMENT
s .-.Jl Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
2215-700-0003-000-6 20024 Southern Star Dr Fort Pierce, FL 34945
(Parcel Id#/Legal description/Address)
SOUTHERN STAR STABLES S/D (PB 53-24) LOT 1(10.95 AC) (OR 3968-213)
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.
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Property Owner Name (Please Print)
v
Owne a e Dake'
STATE OF FLORIDA, COUNTY OF St .. LN C I G
ACKNOWLEDGED BEFORE ME THIS
2 +� DAY OF
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BY ONAI) �TLF pN 1
WHO IS PE
ALLY KNOW
MEn`
(tel OR WHO HAS
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NOTARY PUBLIC
6;&313" COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
AS IDENTIFICATION.
TYPE OR PRINT NO ARY
LP&e'-�
6 Notary Public State of Florida
(SEAL) Gregory S Kraum
My Commission GG 313303
Expires OS/1912023