HomeMy WebLinkAboutFilled Lands Affidavit PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building &Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
RECEIVED
FILLED LAND AFFIDAVIT
JUN 17 2021
St.Lucie County
Permittina
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 2 OS" ea, 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,ppinix
Prop weer a aseyfiht)
< 6-16-21
Property Owner Signature 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(21 OR WHO HAS
PRODUCED AS IDENTIFICATION.
SIG^NA URE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
666 09COMMISSION NUMBER
(SEAL)
SLCPDSD Revised 04/I1/2011 A
��YP°moo CYNTH GaP,
MY COMMISSIONAu ust 18 2023
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