HomeMy WebLinkAboutFilled Lands 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,
5'2-+4 AP"WA ft-ALE bJAtEyNVM Lot �{
(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 19/2't7tgA , 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 Name (Please Prin
1
Property Own ignafure Date
STATE OF FLORIDA, COUNTY OF 9AljAj3&&l4
ACKNOWLEDGED BEFORE ME THIS 0 DAY OF 4Wh .209oiD,
BY Kevin Borkenhagen WHO IS PERSONALLY KNOWN TO ME (Z OR WHO HAS
PRODUCED
SIGNATVRE OF NOTARY PUBLIC
COMMISSION NUMBER
SLCPDSD Revised 04/112011
IDENTIFICATION.
I inew W l?''f y
TYPE OR PRINT NOTARY
NEYIN WIRTH
Noot�ta��rryy P�ublic-State c/Florida
1� (StyO isslan GO 917671
s'., cs + MY Comm. Expires Sep 29, 2023
9oreed throcgh Naticral NotaryAssn.