HomeMy WebLinkAboutFilled Lands Affidavit h '
PLANNING &DEVELOPMENT SERVICES DEPARTMENT
ilk Building& Code Regulations Division
• 2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652 RECEIVED
(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 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
Pro er Owne a Plea a Print)
6-16-21
Pro y Owner mgxaturebDate
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 OR WHO HAS
PRODUCED AS IDENTIFICATION.
6 C Vk)7741*-
SIGNATfJRE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
(SEAL)
SLCPDSD Revised 04/11/2011 r CYNTHIABAKER
MY COMMISSION#GG366608
EXPIRES:August 18,2023
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