HomeMy WebLinkAboutFilled Lands AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE -
FORT PIERCE, FL 34982-5652
(772)462-I553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property, L/!// - 4-0/ - 6060 - OCYi �
ID�a��'ocec�n �l�d U��t 36L1;Lc- �r,-am-1:77t�T&sf
(Parcel I0a egal description/Address) i n Ca Yr + rnah E /&{7'eni-s Lek
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit.- BP Number a00a-61,542, 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,
community.
Property Owner Name (Please Prm
/,,� j�r, 2 9 2-V 2�
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF S4 t-u a e
ACKNOWLEDGEDHI BEFORE ME TIES _ 2� DAY OF . 20-1--j
BY Iaollet 2 a4: e%os WHO Is PERSONALLY KNOWN TO ME (Eb OR WHO HAS
AS IDENTIFICATION.
?oltA;° JOSHUAS.ALSERICO
SIGNA OTARY ftMIC HH031980
Aupw IS.2024
COMMISSION NUMBER 7jrOFFW Rd0*ditV16VWN"
(SEAL)
SLCPDSD Revised 04/1 U2011