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
Permlttlno
I, the undersigned, am the owner of the following described property,
1430-331-0001-000/8 5500 Saint Lucie Boulevard Fort Pierce, Florida 34946
(Parcel IM/Legal description/Address)
for which I have applied to St. Lucie County for a Final evelo ment Permit. In
accepting this Final Development Permit, BP Number 2� , 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.
Sean Minix
P erty Owner e Please -int)
6-16-21
Pr erty Owner Signature Date
STATE OF FLORIDA,COUNTY OF Saint Lucie
ACKNOWLEDGED BEFORE ME THIS 16th DAY OF June 2021
BY Sean Minix WHO IS PERSONALLY KNOWN TO ME([El)OR WHO HAS
PRODUCED AS IDENTIFICATION.
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
(SEAL)
SLCPDSD Revised 04/11/2011 A�YP CYNTHIA BAKER
AMY COMMISSION#GG366608
.,,, EXPIRES:August 18,2023