HomeMy WebLinkAboutFilled Land Affidavit3T:�I;UCIIE COUNTY
BUII DWO & ZONING
2300 VIRGn4jA AVENUE
FORT MERC,E FL 34982-5652
772-462-1553
FILLED' Y• h*AFPID V T
I, the undersigned, am the Owner of the following described property:
LO�`�P
#1306-111 nnni UA40- F/7 qd c) all i-I,}} —,—` ,-____ �lQ�
(Tax
northeasterly of I-95
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 providefor, or maintain in any form, adequate drainage off my property which
will not adversely affect the immediate comimmity.
MatthP•,, T-�st a rr�nna �� \ oli�
Property'Owner Name
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF -St_ T,❑ i
ACKNOWLEDGED BEFORE METHIS.7 t DAY OF P (. w3o
BY —Matthew 'r ly.Tp Li n„g WHO IS pERSONAi I.Y n*O�Ngg OR WHO HAS PRoDuCED
IDENTIFICATION. ,
441
NOTARY PUBLIC TITLE
1J o RaT{y 141vA) ,EJASKi,,o
TYPE OR PRINT NAME OF NOTARY
COMMISSIO 13R
(SEAL)
DOROTHYANN BASKIN
MY COMMISSION # GG 030145
,,•'s EXPIRES: Octobjr 2, 2020
Bonded Thro Notary Public Undelwnters