HomeMy WebLinkAboutFilled LandPLANNING & 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,
2310-50a_LX)T7.do0.9 Lot i',aPhase IIA Morningside Phase IIA
(Parcel W/Legal description/Address)
for which I have applied to St. Lucie County for a Final Development hermit. In
accepting this Final Development Permit, DP Number , 1 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 con-imiunity 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.
l
A' --
Property wner Name (Please Print)
/Si Al. Fe lj I I.Za.z6
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF
St. ,L u c_,-e-
ACKNOWLEDGED BEFORE ME THIS 2 b DAY OF r V � ✓ 20 06 ,
BY f�-ISC� /-n. -J;-e- I j WHO IS PERSONALLY KNO"'N TO ME (21) OR WHO HAS
PRODUCED
SIGNATUR OTARY PUBLIC
COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
TYPE OR PRINT NOTARY
(SEAL)
RHONDASROWE
2o"SyP49e
Commission # GG 104656
N,
Expires May I8, 2021
aY
9� 0%%,oQ}
Bonded 7hru Budget Notary SeNkss
AS IDENTIFICATION.