HomeMy WebLinkAboutFilled Land AffidavitSTQ" LUCIZ COUNTY
BUII•I)IN+G & ZONING
2300. VIRGMA AVENUE
FORT PIERCE; FL 34.982 5652
772-4624553
ILLF ; ,
�IDAVIT
I, the undersigned, am the owner of the following described property: Q &C,
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(Tax IDlLegaldescription/Address) northeasterly of I-95
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 developmentof 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.
Matth _x T 3zl
Property'O.wner Naime
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF_ S t_ L u i
ACKNOWLEDGED BEFORE MBTHIS UC I DAY -mbC1 20 (il/
BY _Md t t11 W T �v lain n p yVIIO IS PERSONALLY I Novta�r �p,d, D
.Of "" JOY POLL
IDENTHWA Commission t1 GG 621'7h
s . Tres
j, TM ��, MY COMM
+ssion Exp'
",.,.�;� 'January 14, 2021
too.
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE (SEAL)
• COMMISSION NUMBER