HomeMy WebLinkAboutWS 30 - Fillled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
. Building & Code Regulations Division
2300 VIIWIN1A AVENUE
FOR•I• PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT
T, the undersigned, am the owner ofthe following described propery,
5105 Armina Place, Fort Pierce - Lot30
(Parcel IdN/Legal descriptlon/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 shalt be responsible for assuring
adequate drainage so that the immediate community WILL NOT be adversely affected.
I fLirther 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
Property Owner Name (Please Print)
Property O Icr Sign i re Date
STATE OF FLORIDA, COUNTY OF PALM BEACH
ACKNOWLEUOED BEFORE MIiTHIS�DAY OF -db ����
B}, KEVIN BORKENHAGEN WHO IS PERSONALLY KNOWN TOME(J_v�)ORWHOHAS
PRODUCED
SIGN � OFY PUDLT
GG917671 COMMISSION NUMBER
SLCPllSD Revised 04/I 1/2011
KEVIN WIRTH
TYPE OR 1'RIN'1' NOTARY
1
1
I