HomeMy WebLinkAboutFilled Lands Affidavit PLANNING & DEVELOPMENT SERVICES DEPARTMENT
® Building & Code Regulations Division
- 2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
l (772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
2433-502-0025-000-8;ESTATES OF LONGWOOD LOT 25(0.40ac)(OR 696-350);1803 HAZELWOOD DR.
(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 WELL 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.
MICHAEL OOSTDYK
Property Owner Name(Please Print)
Z(�-tz
22.
Property Owner Signature Date
STATE OF FLORIDA,COUNTY OF
ACKNOWLEDGED BEFORE ME THIS C��j DAY OF .200
BY "S' D T1 //-NVHO IS PERSONALLY K_NO\VN TO RIE(EXOR WHO HAS
IP
PRODUCE AS IDENTIFICATION.
/L r
Sl ' NOTARY PUBLIC TYPE OR PR"OTARY
G COMMISSION NUMBER
(SEAL
ANNY M.GUZMAN
Notary Public-State of Florida
SLCPDSD Rcvised 04/1 1/201 I N, :o` Commission GG 037233
My Comm Expires Oct 10,2020
IMUCIVE
OCT 2 4 2017
BY