HomeMy WebLinkAboutFilled Land Affidavit I
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building& Code Regulations Division
____-----___-- 2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I,the undersigned, am the owner of the following described property,
1334-502-0076-000-3 Monte Carlo Country Club-Unit Two-Lot 195 9505 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.
Philip Serrate
Property Owner Nam Please Print)
3/14/17
Property Owner Sign t e Date
STATE OF FLORIDA,COUNTY OF Broward
ACKNOWLEDGED BEFORE ME THIS 14 DAY OF March .20 17
BY Philip Serrate WHO IS PERSONALLY KNOWN TO ME( X )OR WHO HAS
PRODUCED AS IDENTIFICATION.
a�__
Denise Brown
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
FF 140607 COMMISSION NUMBER
commis Bo F 140601
-"° - Expires NoveMMA018
Bonded Thru Tmy Fein lneutanco BB03857018
Piufia••
SLCPDSD Revised 04/11/2011,
i
i
I �
I
�i