HomeMy WebLinkAboutFilled Land AffidavitST. LUCI E COUNT'
BUIL$9`W6 & ZONxN
2300 V-MG3N1'A AVENUE
FORT PIERCE; FL 34082-5652
772-462-1553
s the owner of the following described property:
I(1_Si k'a¢ f r►tFRat+ti nn 1 rj'Q�?i?Sh1 p - iAS .Range 39E,
(Tax ID/f:.egat descripciot>%Addre$s)lying N&W of Turnpike Feede
]= 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 1.04.01(D), St. Lucie County
!; Land Development Code, I shall be responsible for assuring adequate drainage so that the
immediate community WILLNOT be adversely affected. I butherr-acknowledge that in
granting this permit for the devdopmett of this property,,•St. Lucie County is neither obliged
nor liable to provide'for, or maintain in any fbnn, adequate drainage off'my property which
will not adversely affect the immediate community.
Property Owner Name
Property Owner Signature 'Date
STATE OF FLOR DA, COUNTY OF` 9.1- _ T. i J'
ACKNOWLEDGED BEFORE ME THUS ( DAYS OF bff� , 205�p
BY E WHO IS FCRSONALLY KNOWN TO MS -OR WHO HAS PRODUCED
AS IDENTIFICATION. Joy POLLARD
o4•�,av nua`q�
Commission q GG 62174
My Commission.Expires
SJONATURE OF NOTARY TYPE OR A Y
• (SEAL)
NOTARY PUBLIC TrrLE COMMISSION "UMBER