HomeMy WebLinkAboutFilled Land Affidavit (2) - ,^- PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building&Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I,the undersigned, am the owner of the following described property,
2313-123-0003-000-6 1310 Copenhaver Road Fort Pierce, Florida 34945
(Parcel 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 , 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.
Charlotte tahlberg
Prope me 1 se Print)
07.26.2021
Pfepfrky Owner gnattue Date
STATE OF FLORIDA,COUNTY OF Saint Lucie
ACKNOWLEDGED BEFORE METHIS 26th DAY OF July 2021
BY Charlotte All Stahll7erg WHO IS PERSONALLY KNOWN TO ME(Zb OR WHO HAS
PRODUCED AS IDENTIFICATION.
Arwen D Adams
SIGNATURE OF N TARY IC TYPE OR PRINT NOTARY
GG272920 COMMISSION NUMBER
:1Y p(iB ARWEN D ADAMS
(SEAL) ?��`4�`a Notary Public-State of Florida
i. Commission#GG 272928,
My Comm.Expires Oct 31,7022
Bonded through National Notary Assn.
SLCPDSD Revised 04/11/2011