HomeMy WebLinkAboutFilled Land Affidavit ST. LUCIE COUNTY
BUILDING & ZONING MAY i i
2300 VIRGINIA AVENUE f'EI�;.il?71i:t~
p FORT PIERCE,FL 34982-5652 St. Lucie
772-462-1553
FILLED LANDS AFFIDAVIT
1, the undersigned, am the owner of the following described property:
3427-111-0002-000/5
(Tax ID/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 , 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. 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 Lyle Wynne
Property Owner Name Property Owner Signature Date
STATE OF FLORIDA,COUNTY OF (e
1
ACKNOWL
ED
GE
�D
/BEFORE ME TH /{'/ {�"1S DAY OF J 20t!7,
BY�AL1)-1CW CYGE �YNNf WHO IS PERSONALLY KNOWN TOME OR WHO HAS PRODUCED
AS rDENT1FIC-AT�ION.
LAD
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
(SEAL)
NOTARY PUBLIC TITLE CoM
DOROTHYANNBASKIN
' MY COMMISSION#GG 030145
s= EXPIRES:October 2,2020
Bonded Thru Notary Public Und&*+ters