HomeMy WebLinkAboutFILLED LAND AFFIDAVIT -- 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 follo«ing described property.
3419-540-0090-000-1 / RIVER PARK-UNIT 5 BLK 45 LOT 36/ 105 SE CELESTIA CT
(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.
`1AN pAYis
Property Owner Name(Please Print)
- 6 �zl
Propertywner Signature Date
STATE OF FLORIDA,COUNTY OF S"T W C.
ACKNOWLEDGED BEFORE ME THIS _DAY OF 1 0,,A U GI IPi ,20_2-k
BY P—Le" [)A y LS WHO IS ONALLY KNO FN TO ME OR WHO HAS
PRODUCED AS IDENTIFICATION.
-" � C--k' anx�Lo es r kM e2S pw_*e,—
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
C C�2o Lam` COMMISSION NUMBER
(SE e- c y" MALLORY KOCHERSPERGER
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EXPIRES:March 29,2022
SLCPDSD Revised 04/11/2011