HomeMy WebLinkAboutMarshall Filled land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
•
- Building & Cade Regulations Division
2300 VIRG]NTA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
1414-701-0064-000-2 /Queens Cove Unit 1 - Blk 8 Lot A (OR 660-696)133 Sovereign Way, Hutchinson Island
(Parcel ld#/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 2104-082s , 1 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.
1 fin-ther 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.
David & Edith Smith
Property OZ)cl'-'-
(Please Priint)
wn
Property Owner Signature
STATE OF FLORIDA, COUNTY OF ST L U C I E
27 April 2021
Date
ACKNOWLEDGED BEFORE ME THIS �� 7 DAY OF }-1 ? i I 1 20 a }
BY i WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
PRODUCED i L) P. r S iCe n,S — AS IDENTIFICATION.
SI&NAT I4 OF NOTARY PURM
l> 10 � 9W _C01ANUSSION NUMBER
cct.S e �1 `'�i n
TYPE OR PRE4f NOTARY
(SEAL)
SLCPDSD Revised 04/11/2011 00 04" Notary Public State of Florida
Casey Binkley
w My Commission GG 9M880
of n Expires 08/22/2023