HomeMy WebLinkAboutFilled Land AffidavitPLANNING & 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,
? O O S P i L r mock _ W-Lr-o- •
i,. � •c���•�zua�oc�.�o ���� �r�t�,;•t u bllc.. �� �-� �
(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 iri any form,
adequate drainage off my property which will not adversely affect the immediate
community.
i
t�• 'RV
Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS DAY OF 12
BY 0�(J� J bjUf,,,,WH01 P ALLY OWN O ME OR WHO HAS
PRODUCED _ _ _ ,- _ _ _ — �AaJDXD6�'ATION.
MATURE OF NOjr' Y/ gBLIC
COMMISSION NUMBER
SLCPDSD Rcviscd 04/11/2011
r.1 P4. Notary Pubho State o1 Florida
`N Brittany L Rubino
nion GG 271879
j � � �!10/28/2022
(SEAL)
�00 Ptry, Notary Public State of Florida
`�, Brittany L Rubino
My Commission GG 271879
''�oiw Expires 10/28/2022
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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,
0
(Parcel Id#/Legal
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number r4Q . C33. 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.
MDnadel 10 le- L—A--) -PL i )r,
Property Owilr Name (Ptefise Prfnt)
Prop ec Signature DP e
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS I" � . DAY OF �� .20
BY �e j4 ,/2014 t/ _WHO IS PERSONALLY'KNOWN TO ME (�I) OR WHO HAS
PRODUCED
AS IDENTIFICATION.
SIGNATURE OF NOT.. PUBLIC TYPE OR PRINT NOTARY
HP D 0 COMMISSION NUMBER
(SEAL)
SLCPDSD Rcviscd 04/1 I/201 I [6pj
C Sho Dd FlOf� tiH 02Y010