HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT �° q
BUILDING & CODE REGULATIONS DIVISION f @l
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 DEC 2 3 201
(772)462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property,
310 r1w
(Parcel Id#/Legal
Palm City, F1 34490
PER:,,IFT' P:,...:
St. Lucie �;oa,::cy. FL
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.
Michael Met' kes
Property Owner v e e e Print) ff
' 1is'
Property Owner S gnature Da e
STATE OF FLORIDA, COUNTY OF Broward
ACKNOWLEDGED BEFORE ME THIS DAY OF b j2— L 120 15
BY Michael Metzkes WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
PRODUCED ! AS IDENTIFICATION.
I
Denise Brown'
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
I
DENISE BROWN
`' FF 140607
=? °y Commission# (SEAL)
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Expires November 4, 2018
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SLCPDSD Revised 08/24/2010