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 following described property,
3424-800-0175-000-4/7800 McClintock Way
(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 1703-0465 , 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.
PA-%/4 t c, •4 A
Property Owner Name(Please.Print)
Property Owner Signature U Date
STATE OF FLORIDA,COUNTY OF .-4Gt!a kl ( /P 1'
ACKNOWLEDGED BEFORE ME THIS DAY OF O4D r! ( 20
1 BY VCTC I C 1 O. Y-0' I Ire WHO IS PERSONALLY KNOWN TO ME LL�OR WHO HAS
PRODUCED AS IDENTIFICATION.
M Q s o m re-f- Sc6(4ey—
SIGNATur&OF NOTARY PUBLIC TYPE OR PRIMARY
G G�S"68� COMMISSION NUMBER
(SEAL)
�! MARGARET SCHAEFER
SLCPDSD Revised 04/11/2011 r MY COMMISSION#6G88886
OM-10 EXPIRES:March 30,2021