HomeMy WebLinkAboutFilled Land Affidavit PLANNING & DEVELOPMENT SERVICES DEPARTMENT
s Building & Code Regulations Division
2300 VIRGINIA AVENUE
PORT PIERCE,,FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
131170001900005 5169 ARMINA PLACE
(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 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.
KEVIN BORKENHAGEN
Property Owner Name(Please Print)
11/20/2020
Proratureeer date
STATE OF FLORIDA,COUNTY OF PALM BEACH
ACKNOWLEDGED BEFORE ME THIS 20TH DAY OF NOVEMBER 20 20
BY KEVIN BORKENHAGEN WHO IS PERSONALLY KNOWN TO ME CEZ-1)OR WHO HAS
PRODUCFD AS IDENTIFICATION.
a kA' KEVIN WIRTH
SIGNATM OF NOTARY PUBLIC TYPE OR PRINT NOTARY
GG917671 COMMISSION NUMBER
KEVIN WIRTN
_)Notary Pubtk-State of Flofhb
Commission i1 GG 917671
•aN;' My Comm.E)Vres Sep 29,20M
Bonded through Newel Notary Assn.
SLCPDSD Revised 04/11/2011