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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, 3404-805-0024-000-4 TBD GOPHER RIDGE RD (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. Salvador Garcia Jr Property Owner Name (Please Print) Z O dL Property weer Signature Date STATE OF FLORIDA, COUNTY OF = . Lu c l e ACKNOWLEDGED BEFORE ME THIS DAY OF YYi K�l , 20 2Q BY. i%> IAAQV G W VG K- Ole —WHO IS PERSONALLY KNOWN TO ME M OR WHO HAS PRODUCED SIQATURE OP' NOT Iv, C GQ d CG a I I COMMISSION NUMBER SLCPDSD Revised 04/11/2011 AS IDENTIFICATION. -4k `n - • &U--fn TYPE OR PRINT NOTARY (SEAL) �r►'i Notary Public State of Florida Robin L Bowen +�.� • My Commission GG 298212 �p d Expires 02/04/2023