HomeMy WebLinkAboutHOYT FILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
o I 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,
3426 SOUTHERN PINES DR
(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.
JONATHAN HOYT
Prop Owner Name (Please Print)
Pr perry Owner Signature
STATE OF FLORIDA, COUNTY OF ST LUCIE
Date
ACKNOWLEDGED BEFORE ME THIS ZrI DAY OF (6CQV .20.
BY JONATHAN HOYT WHO 1S PERSONALLY KNOWN TO ME 13) OR WHO HAS
PRODUCED ?RIVER LICENSE AS IDENTIFICATION.
Al N
�. LUCY BAROCIO
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
GG 937274 COMMISSION NUMBER
SLCPDSD Revised 04/112011
(SEAL)
LUCY BAROCIO
iy/•'; Notary Public - State of Florida
;•, "'i, Commission p GG 937274
orrti.` My Comm. Expires Dec 4, 2023
Sorced through Naconai Notary Assn.