HomeMy WebLinkAboutWS 27 - Filled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VEtG1NIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner ofthe following desa•ibed property,
5118 Armina Place, Fort Pierce - Lot 27
(Parcel 1dN/Legal descPlptlon/Address)
for which I have applied to St, Lucie County for a Final Development Permit. ID
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 fora,
adequate drainage off my property which will not adversely affect the immediate
community.
KEVIN BORKENHAGEN
Property Owner Name (Please Print)
Property O• er Sign ' re
STATE OF FLORIDA, COUNTY OF PALM BEACH
ACKNOWLEDGED BEFORE M[iTH15 F) DAY OF
EY KEVIN BORKENHAGEN WHO IS PEM
PRODUCED
SIGNdY'UItE OFNOTARY PUDLiC
GG917671 COMMISSION NUMBER
SLCPllSll Revised OA/I I/2011
lid
KEVIN WIRTH
TYPE OR PRINT NOTARY
MEtir i, OR WHO HAS
IDEN'1'IFICA'1'ION,