HomeMy WebLinkAboutFilled Lands Affidavit PLANNING&DEVELOPMENT SERVICES DEPARTMENT
Building&Code Regulations Division
• - 2300 VIRGINIA AVENUE RECEIVED
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FORT PIERCE,FL 34982-5652
(772)462-1553
JUN 17 2021
FILLED LAND AFFIDAVIT St.Lucie County
Permitting
I, the undersigned, am the owner of the following described property,
1430-331-0002-000/5 5500 Saint Lucie Boulevard Fort Pierce, Florida 34946
(Parcel 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 'AQ5+ 6�� , 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.
Sea Minix
Pro caner a Iea��Print)
6-16-21
Property Owner Sig re Date
STATE.OF FLORIDA,COUNTY OF Saint Lucie
ACKNOWLEDGED BEFORE ME THIS 16t11 DAY OF June 2021
BY Sean Minix WHO IS PERSONALLY KNOWN TO ME cul OR WHO HAS
PRODUCED AS IDENTIFICATION.
X&C/
SIGNA URE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
GG 2W 0?COMMISSION NUMBER
(SEAL)
c CYNTHIA BAKER
SLCPDSD Revised 04/11/2011 MY COMMISSION#GG366608
*,m.W EXPIRES:August 18,2023