HomeMy WebLinkAboutFilled Land AffidavitPLANNING & 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,
5417 CASSIA DR
(Parcel Id#/Legal description/Address)
3402-610-0107-000-6
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.
Anthony F Giaccone
o,erty 4C)iWner Nam lease Print)
woad
Propertyer Signature Date
STATE OF FLORIDA, COUNTY OF ST . 1. A%vl-C
ACKNOWLEDGED BEFORE ME THIS DAY OF MAN/ ,20,2n .
BY PY1 lSVr7/ III cccm WHO IS PERSONALLY KNOWN TO ME(ZOR WHO HAS
PRODUCED '" Q 6) 50- ftto j9&,: D AS IDENTIFICATION.
SIGNATURE OF NOTARY PUBLIC
Q1 1 i��l i COMMISSION NUMBER
SLCPDSD Revised 04/112011
+P.WN Notary Public State of Florida
Robin L Bowen
+� y� My Commission GG 288212
Oati? Expires 02RMR 23
(SEAL)