HomeMy WebLinkAboutDemetress Canty - Filled Land Affidavit - complete PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building& Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
1, the undersigned, am the owner of the following described property.
2406-114-0001-000-91 1905 N 41St Street Fort Pierce, FL 34947
(Parcel Id#ILegNI descriptianl.address) T F T H NVVLY 2 FOR POB,TH CON WLY 150 FT,TH NELY 216.9 FT,
TH SELY150 FT,TH SWLY 216.29 FT TO POB(2){0.75)(OR 2670-241;2700-2712)
for which 1 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.
l 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.
❑emetress Canty
Property 34�Tler Dame(Please Print)
P op&ty Owner Signature Date
STATE 0FFLORIF)A,COUNTY OF
ACKNOWLEDGED BEFORE ME THIS ` DAY()F 20
BY JJ--� WH-O IS PFRSONAL,I..Y KNOWN TO ME Q)OR WHO HAS
PRODUCED 'F[ 1F L AS IDENTIFICATION,
SIGN TURF OF NUTARY PLTBLIC TYPE OR PRINT NOTARY'
COMMIS51C7A1 NL]MBER
Notary Public State of Ffondaje. 4QI aND=RsaN
'NAMISsion GG 978454
Expires1412024
SLUDSI)Revised UVI 112411