HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34952-5652
(772) 462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
(Parcel Id#/Legal
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number 11l2- 01 a , 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 Pn
X tj�ao�adao
Property Owner lgnature Date--�
STATE OF FLORIDA, COUNTY OF ?AIM
W'C"
ACKNOWLEDGED BEFORE ME THIS _ !� DAY OF
BY Kevin Borkenhagen WHO IS PERSONALLY KNOWN TO ME LO OR WHO HAS
PRODUCED
^Pg�,
SIGNA7URE OF NOTARY PUBLIC
1 g��COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
IDENTIFICATION.
I N (eqR M
TYP9 OR PRINT NOTARY
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i ....,. NEVIN WIRTH
%Pohlio Rate of Fladda
ison91767f,}q% My Comm. ENatcn Sep (ar Am.
Band¢d thrau5h Nadcnal NO[ary Assn.