HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE RE-ZVCD
FORT PIERCE, FL 34982-5652
(772) 462-1553 NOV 11 2020
FILLED LAND AFFIDAVIT 5T. Lucie County, Permitting
I, the undersigned, am the owner of the following described property,
1327-701-0019-00-5 / Monte Carlo CC unit3 lot 49 / 9614 Knollwood Ln
(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.
Carla S Cunningham
Property Owner Name (Please Print)
CG
Pro erty Owner Signature Date
STATE OF FLORIDA, COUNTY OF F/Arljo- ��fit' #,:,e,
ACKNOWLEDGED BEFORE ME THIS 7-2- DAY OF 0 C 20 Z
BY WHO IS PERSONALLY KNOWN TO ME (a OR WHO HAS
PRODUCED �� AS IDENTIFICATION.
`•
TURE OF NOTNOTANK PUBLIC
'Z I?#3Y COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
. 11
LvA
OR PRINT NOTARY
(SEAL) LRoseCLaV
Notary NubifC State Of flsrir0
MY Conva"ion G G 239436
Expires 07/10/1022