HomeMy WebLinkAboutFilled Land Affidavitf
ST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
772-462-1553
FILLED LAN S AFFIDAVIT
I, the undersigned, am the owner of the following described property: 5
Part of 3414-501--1701-000/9; Section 26, Township 36s & Range 40E
(Tax M[Lega1 description/Address)
.for which I have applied to St. Lucie County for a Final Development Perin.it. 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 go that the
immediate community WILL NOT be adversely affected. X 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 comrimunity.
Matthew Lyle Wynne
P.roperty Owner Name
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF St. _Lucie
R�
ACKNOWLEDGED BEFORE ME THIS � DAY O'F S i , 20 L G
By Matthew Lyle Wynne WHO IS PERSONALLY KNOWN TO ME ORWWO*HAS PRODUCED
SIGNATURE OF NOTARY
NOTARY PUBLIC TITLE
S IDENTIFICATION.
7-1 QOMA y j4N ^) ASCi
TYPE OR PRINT NAME OF NOTARY
(SEA LI
SION NUMBER
DOWHY ANN'BASKIN
>� o•;; Notary Public -State of Florida
_'. ; �; •e My Comm. Expires.002, 2016
Commission # FF 015226
%� °p••• Boded Through National Notary Assn.