HomeMy WebLinkAboutFilled Lands Affidavit.ST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
561-462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property: .
332?,--3op --c5oo I --- 1
(Tax 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 694109,0�i�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.
CH+i>_ts'`rt i3a
Property Owner Name
STATE OF FLORIDA, COUNTY OF.
Seca o'� 31Lz� o�
Property Owner Signature Date
ACKNOWLEDGED BEFORE ME THIS �II a'� DAY OF 200E `
BY C `TL S n —iC ,n, SONALLY KNOWN TO �MEOWHO HAS PRODUCED
AS IDENTIFICATION.
or
SIG AT R 'OF OT TYPE R P NT AME 90 NO ARY
NOTARY PUBLIC TITLE
.::
MARYJANEDELGADO
MY COMMISSION # DD 239462
;OFf<<'
EXPIRES: August 6, 2007
1.800-3-r :1RY
FL Notary Discount Assoc. Co.
D�) a 3 01 L//(6 2 (SEAL)
COMMISSION NUMBER
MARY JANE DELGADO
U MY COMMISSION # DD 239462
OFi10 EXPIRES: Au9ust6, 2007 Y
1.800-3-NOTARY FL Notary DisocuM Aasu , c;; p