HomeMy WebLinkAboutFilled Land Affidavit_ PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FOR'r PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT F-REC
MAR 2 � " i%1
ST. Lucie County,
I, the undersigned, am the owner of the following described
?t; H -q-BtV 9.(p I00010
(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.
KEVIN BORKENHAGEN
Property Owner N(Please Print)
Property Owner Si lure Date
STATE Or FLORIDA, COUNTY OF PALM BEACH
ACKNOWLEDGED BEFOREME THIS DAY OF MJL6.t:GG .20 gzy
BY KEVIN BORKENHAGEN WHO IS PERSONALLY KNOWN TO ME (I —Lb OR WHO HAS
PRODUCED AS IDENTIFICATION.
KEVIN WIRTH
SIONATLZE OFNOTARY PUBLIC TYPE ORPRnNT NOTARY
GG917671 COMMISSION NUMBER
KEVIN WIRiN
'f • •: Natn riblla} State o(Fl.0 a
Commission#GG9I7671
........ My Comm. Expires Sep 29, 2023
Bonded through National Notary Assn.
SLCPDSD Revised 04/11/2011