HomeMy WebLinkAboutFilled Land Affidavit -; 4 PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
• - 2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
I
FILLED LAND AFFIDAVIT
I
I,the undersigned, am the owner of the following described property,
1334-502-0077-000-0 Monte Carlo Country Club-Unit Two-Lot 196 9503 Poinciana Court
(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.
I
Philip Serrate
Property Owner Name(Ple it
Print)
3/14/17
Property Owner Signature Date
i
STATE OF FLORIDA,COUNTY OF Br ward
I
ACKNOWLEDGED BEFORE ME THIS 14 DAY OF March 120 -L7
BY Philip Serrate WHO IS PERSONALLY KNOWN TO ME(_)OR WHO HAS j
PRODUCED AS IDENTIFICATION.
I
Denise Brown
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
FF 140Rn7 COMMISSION NUMBER ptNISF-BROWN
Comm!. FF 140607
EX ores Nove� r 2018
p Fe:n 2no B003B5-7079
�r��;11eo.• Bonded Thru Troy
SLCPDSD Revised 04/11/2011
I i
,I