HomeMy WebLinkAboutFILLED LANDS AFFIDAVIT - 14485 DALIAST. LU.CIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
772-462-1553
FILLED LANDi AFFIDAVIT
I, the undersigned, am the Owner of the following described property: ����5 S ��'q
#1306-1'19_nnnl_n.nn/n• ti/7 Zd �g „ th �
(Tax ID/Le a[ descri tion/Address Part_y1 n g
S p ) northeasterly of I-95
for which I have applied to St. Lucie County for a Final Development Permit. In accepting
this Final Development Permit, BP Number I, 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.
Matthew T yI P LT�znnP
Property Owner Name
Property Owner Signature Date
STATE OF FLORMA, COUNTY OF
ACKNOWLEDGED BEFORE ME TFM �te DAY OF J (// % 20��
BY Mattheww T y l e—WY-nnP WHO IS PERSONALLY KNOWN TOME OR WHO HAS PRODUCED
IDENTIFICATION.
DQRo-r).'y AA1.1
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE
(SEAL)
COMMISSION NIJ(Fyjip•��,�,�,
.
ANN BAMN
DOROTFIV
MY cw'l dISS10N I HH 045443
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