HomeMy WebLinkAboutTony Giaccone Filled Land Affdavit1 .'-I \-
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, PL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
3402-610-0107-000-6 / INDIAN RIVER ESTATES-UNIT 09- BLK 73 S 1/2 OF LOT 23 AND ALL LOT 24 (MAP 34/11N)
(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 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.
Propertyj0^dr^ame (I ase Print)
iPxeperty Owfier Signatj^Date
jxijioio
STATE OF FLORIDA, COUNTY 0F_Si. Lu c
ACKNOWLEDGED BEFORE ME THIS _
BY I
S3 DAY OF ,20
PRODU
WHO IS PERSONALLY KNOWN TO ME /I ll OR WHO HAS
AS IDENTIFICATION.
vIATURE OF NOTARY PUBLIC
COMMISSION NUMBER
intnATYPE OR PRINT NOTARY
SLCPDSD Revised 04/11/2011
i^ahi
(SEAL)
LUCYWHEATLEY
Notary Public - State of Florida"
Commission # GG 194' 04
My Comm. Expires Jun 29,2022
Bonded through National Nota.'y Assn.