HomeMy WebLinkAboutFilled Land Affidavit10/26/2007 10:27 32195�F-?4 NANCY COOPEF, PAGE 04/08
ST. LUCIE COUNTY
40
BUILDING & ZONING
230o VIRGINIA AVENUE
FORT'PIERCZ, FL 34082-5652
C0I�ipQ
581 dG2.1$5]
FILLED LANDS AFFIDAVIT
1, the undersigned, am the owner of the following described property:
13 11 --7oc5 020^7 -000 -8 1315>t,(C q S' 21 Z W Ant Ci AtI0 St' FG 3y 4 S
(Tax 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 Number5Le- o'7oq - ao7j 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.
a,-1< to lei •-� ✓� �d u e-7
ftwoncl& t6mes Mm. o-V Floridk
Property Owner Name Property wrierijnature Date
STATE OF FLORIDA, COUNTY OF_ SPyh rs7e i 2
ACKNOWLEDGED BEFORE ME THIS DAY OF __ae.loh ✓r
BY Q t� a1eK WHO 1S PERSONALLY KNOWN TO ME OR WHO HAS PRODUCE0
AS IDENTIFICATION.
t, 4 e
$I NATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE D� y36-M COMMISSION NUMEIER (SEAL)
r ............ JANE R FOREST
Notary Public - 5tate of Florida
• ` :My Commission Expires Sep 30, 2009
Commission # DD 436272
�a Bonded By National of
Assn.