HomeMy WebLinkAboutFilled land aff PLANNING &,DEVELOPMENT SERVICES DEPARTMENT
Building&.Code Regulations.Division
• 2300 VIRUINIA AVENUE-
FORT I E1WE.FL 3498.2-5652
(7.72)462-1553
FILLED LAND AFFIDAVIT
I,the undersigned, am the owner-of the following described property,
34.14.501-0713-2506 ST LUCIE GARDENS 23 3640 OLK 3 S.330 FT OF THAF PART OF LOT.13 LYG N OF.OYER RO(2 MAC)(NIAP 3423S)(OR 1846,2011)1100 DYER,RO•P.0 SI Lucie
(P:Ircel 1d#/Lego description/Address)
for which I have applied: to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number 2004-0446 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..
Global Signal Services Llc.
Property 0— ►er'Nam ase Print):
Property Owri;"i Signature Date
S'[CA]-F.,OF FLORIDA.COLIN'rY
M .....----._..................... __.................._..__.....__. ..
ACKNOWLEDGED BEFORE ME'llils_�_DAY OF�1 \C __ 20 zo
BY� �'��Cj WHO IS PERSONALLY KNOWN TO ME(-)OR WHO HAS
PRODUCED AS IDENTIFICATION.
SIONATUR}:i OF `OTARY PUBLIC: TYPE ORPRINT NOTARY
G1c. COMMISSION NUMBER
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` *: MY COMMISSION#GG 926533
EXPIRES:October W,2U23
Bonded Thnr Notary Public Underwdiers
SLCPDSD Revised.04/11/2011