HomeMy WebLinkAboutFilled Land Affidavit ST. LUCII{; COUNTY
N ` � q.. f BUILDING & ZONING
2300 VIRGINIA AVENUE MAY 1 1 2011
FORT PIERCE,FL 34982-5652 PERFriIT-.')^
® 772-462-1553 St. Lucie ! or..r...
FILLED LANDS AFFIDAVIT .
I,the undersigned, am the owner of the following described property:
#1 306 111 0001 000/0;617 34 -49 al 1 i-hat�part- lying
(Tax ID/Legaldescription/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 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.
Matthew T,yl P WynnP
Property Owner Name Property Owner Signature Date
STATE OF FLORIDA,COUNTY OF St. Lucie
ACKNOWLEDGED BEFORE ME THIS DAY OF m 2C
BY Matthew Lyle Wynne WHO IS PERSONALLY KNOWN T9 MF OR WHO HAS PRODUCED
AS IDENTIFICATION.
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
(SEAL)
NOTARY PUBLIC TITLE
DOROTHY ANN BASKIN
�yo4� ISSION#GG 030145
IAY COMM
•<E EXPIRES:October 2 2020
"`� Bonded Thru Notary Public Urdervrdie(S