HomeMy WebLinkAboutFilled land affidavit L/C 009-1798
#22447(7626 S US Hwy 1)
PLANNING &DEVELOPMENT SERVICES DEPARTMENT
Building&Code Regulations Division
2300 VIRGINIA AVENUE
ow 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)
I
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number -2 Mj)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.
Xenon S.A.
Property Owner Name ase Pta
'
i
er wner Si tare Date
STATE OF FLORIDA,COUNTY OF � b/Yj► ^n 1Q ��C_
ACKNOWLEDGED BEFORE ME THIS DAYOF hZn)1,fyj)Cn, r 20_j q ,
BY .. :5LCYI- `HO IS PERSONALLY KNOWN TO ME(0)OR WHO HAS
PRODUCED AS IDENTIFICATION.
SIGNATURE OF A Y P LIC TYPE OR PRINT NOTARY
&('57 2V 3,Q 1/COMMISSION NUMBER
(SEAL)
�wr v�'•. ANNIA E.GARCIA
o �.•
: • �: Notary Public-State of Florida
SLCPDSD Revised 04/11/2011a o`e Commission d GG 351725
My Comm.Expires Aug 26,2023
Bonded through National Notary Assn.
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