HomeMy WebLinkAboutFilled LandsPLANNING & DEVELOPMENT SERVICES DEPARTMENT
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,
1312-502-0184-000-5 5711 Sunberry Cir
(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 2005-0409 . , 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.
Viola Henrius
Pro Owner Name (Please Print)
roperty Owner Signature Date
STATE OF FLORIDA, COUNTY OF St. Lucie
ACKNOWLEDGED BEFORE ME THIS
BY Viola Henrius
PRODUCED
A,—'t W j
ATURE O NOTARY PUBLIC
66 / 55"& 19'OMMISSION NUMBER
SLCPDSD Revised 04/11/2011
DAY OF �Jy� .20 0?0 ,
WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
AS IDENTIFICATION.
Kristine Michelle Taylor
TYPE OR PRINT NOTARY
(SEAL)
KRISTINE MICHELLE TAYLOR
;2w F�
0 �<,"
State of Florida -Notary Public
Commission # GG 155618
My Commission Expires I
October 29, 2021 11