HomeMy WebLinkAboutFilled land affidavit L/C 009-1798
#22447(7626 S US Hwy 1)
PLANNING &DEVELOPMENT SERVICES DEPARTMENT
V
NN
o 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,
3422-802-0005-000-2/PRIMA VISTA NUMBER ONE(PB 40-37)LOT 2(0.884 AC)(OR 1466-2032)/
7626 S US Highway 1,Port St.Lucie,FL 34983
(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 accor ante 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.
Xe on S.A.
Pro erty O . N e(Please
i 1�7
perty Owner lgnature Date
STATE OF FLORIDA,COUNTY OF
ACKNOWLEDGED BEFORE ME THIS OF ,��20�C9 ,
BY �`f ��Zt�WHO IS PERSONALLY KNOWN TOME cu)OR WHO HAS
PRODUCED AS IDENTIFICATION.
11SIGNATURE OF NOTARY P TYPE OR PR�NOTARY
1351 1 COMMISSION NUMBER
(SEAL)
SLCPDSD Revised 04/11/2011 .............
`r v�B ANNI:EE.D351725
f.°• ��: Notary PubliCommissiMy Comm.EBonded through N