HomeMy WebLinkAboutWS 28 - Filled Land AffidavitPLANNING & Dr WELOPMENT SE, RVICES DE, PARTMENT
Building & Code Regulations Division
2300 MOINIA AVENUE
FOICr PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the Owner ofthe following described property,
5114 Armina Place, Fon Pierce - Lot 28
(Pnrccl III escription/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
aecepting 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.
KEVIN BORKENHAGEN
Properly Owner Name (Please Print)
Property ter Sign 1 ne
53'ATE OF FLORIDA, COUNTY OF.
PALM BEACH
Date
ACKNOWLEUOED nIIFORE MI?THIS�DAY
BY KEVIN BORKENHAGEN WHO IS PERSONALLY KNOWN T ME(aOR WHO HAS
PRODU/CE�D
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SION OF NOTAR PUBLIC
GG917671 COMMISSION NUMBER
SLCPUSll IteviseJ 04/1 I@011
IDENTIFICATION,
KEVIN WIRTH
TYPE OR 1'1tIN'1' NOTARY
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