HomeMy WebLinkAboutFilled Land Affidavit_SignedDocuSign Envelope ID: 5D222618-5799-4823-95D8-34DFF056C23E
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
a Building & Code Regulations Division
2300 VIRGtNtA AVENUE
FORT PIERCE. FL 34982-5652
(772)462.1553
FILLED LAND AFFIDAVIT
I, the undersigned. am the owner of the following described propert\.
Scott Budnik
(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.
Scott Budnik
Property Ouner Name (Please Print)
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ocuSigned by:
7/10/2021_Sienature Date
STATE OF FLORIDA. COUNTY OF Palm Beach
ACKNOWLEDGED BEFORE ME THIS 10 DAY OF `lUty 2021
BY Scott Budnik WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
PRODUCED n/a AS IDENTIFICATION
�MJAA I �&_ 0 A C-6, Deanne L. Pierce
SIGNATURE OF LIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
SLCPDSD Revised04/11/2011
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