HomeMy WebLinkAboutFILLEDLANDPLANNING &c DEVELOPMENT SERVICES DEPARTMENT
T 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,
3202-500-0007-000-31 PERSNICKETY FARMS PB 66-40 LOT 714637 S HEADER CANAL RD FORT PIERCE FL 34945
(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 6640 , 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.
JUAN R QUINTEROS
Property Owner Name (Please Print)
gi!�t
rty Owner Signature
STATE OF FLORIDA, COUNTY" OF ST L U C I E
ACKNOWLEDGED BEFORE ME THIS 30
BY JUAN R QUINTEROS
PRODUCED
9/30/2020
Date
DAY OF SEPTEMBER 12020
WHO IS PERSONALLY KNOWN TO ME ([D) OR WHO HAS
SILVIA BELTRAN
NOTARY PUBLIC TYPE OR PRINT NOTARY
CG292268 COMMISSION NUMBER
(SEAL)
SLCPDSD /1� N"a Beltran
� I55�?�l # GG29226�
EXP>t & &jRwy 17, 20x7
As m Nobn
AS IDENTIFICATION.