HomeMy WebLinkAboutFILLEDLAND PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building &Code Regulations Division
2300 VIRGINIA AVENUE
wow FORT PIERCE,FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I,the undersigned, am the owner of the following described property,
1334-502-0089-000-7 2702 BENT PINE DR FORT PIERCE FL 34951
(Parcel IMILegal 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.
JIM BROCKWAY
Property Owner Name(Please Print)
� ay- - DECEMBER 30,2018
Property Owner Signature Date
STATE OF FLORIDA,COUNTY OF MARTIN
ACKNOWLEDGED BEFORE ME THIS 30th DAY OF DECEMBER 2020
BY JIM BROCKWAY WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
PRODUCED DRIVERS LIC. AS IDENTIFICATION.
(bS0AttQ-iA, GWYNETH ELLYN WOOD
SIG -Uk4bF NOTARY PtMLIC TYPE OR PRINT NOTARY
f O-2'�MMlssloNNUMBER _tea': GWYNETH ELLYN WOOD
:` Notary Public,State of Florida
Commission No.GG 987026
'•.9iK.'` My Comm.Exp.May 11,2024
SLCPDSD Revised 04/1 1120 1 1