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
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 CJ C , I acknowledge
that as owner of the above described property, and in accord rice 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,rion S.A.
2Pr erty O er Na lease Print
►� IL-7111
roper wrier i ature Date
Z5�
STATE OF FLORIDA,COUNTY OF_ l
ACKNOWLEDGED BEFORE ME THIS DAY OF �� 20__,
BY� �-�-jp)/ f�_��fQ-�-}�WHO IS PERSONALLY KNOWN TOME L�'I)OR WHO HAS
PRODUCED AS IDENTIFICATION.
i�✓1 f1 H: �. � �
SIGNATURE FNOTAIR.YJUBLIC TYPE OR PRINT NOTARY
-COMMISSION NUMBER
(SEAL)
SLCPDSD Revised 04/11/2011
PiiB. ANNIA E.GARCIA
_°• ��= Notary Public-State of Florida
Commission=GG 351725
'``oFrt4' My Comm.Expires Aug 26.2023
Bonded through National Notary Assn.