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,
1301-604-0089-000-8 7901 Santana Ave
(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 2009-0637 , 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.
Shyan Wojtczak
Property Owner Name (Please Print)
9-29-20
Propertrowner Signatu& Date
!`"a �
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS _ �J DAY OF l ry -be'L,20
WHO IS PERSONALLY KNOWN TOME (ED) OR WHO HAS
PRODUCED AS IDENTIFICATION.
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
(SEAL) Ptd Notary Public State of Florida
' Amanda P Sand-erson
¢ Q • My Commission GG 211256
Worn° Expires 04/25/2022
SLCPDSD Revised 04/11/2011