HomeMy WebLinkAboutFilled Land Affidavit10/26/2007 10:27 321956F,4?4 NANCY COOPER PAGE 02/08
CaG 5T. LUCIE COUNTY
BUILDING & ZONING
23oa VIRGINIA AVENUE
FORS PIERCE, FI, 34982.5652
``kOs�ip� 591 •a62.1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property:
4' f Z 6 lock- y Sz /(I nit A,v cr'A VO S rl� (ACA:e FL
(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 Number�l,C o-rol -0o72_ , 1 acknowledge that as
owner of the above described property, and in accordance with Section 7.04.01(D), St,
Lucie County hand 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.
MaraOeZAC. ff
Property NamF/OriGfii,
*Propex glibnature Date
STATE OF FLORIDA, COUNTY OF- &5 "M i Y1G'e-
ACK,NOOW� L�E,/DGEDD BEFOR5 METHIS�Z( DAY OF Oc h76Qa' 204,
'By uirl� -W> i0 I$� pERSn�+s+ + KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
�.
&TURE of NOTARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE W y362 2 (SEAL)
COMMISSION NUMBER
JANE R FOREST
Notary Public- State of Florida
-My Commission Expires Sep 30, 2009
Commission # DD 436272
�'°f� Bonded By National Notary Assn.