HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
1, the undersigned, am the owner of the following described property,
9632 Enclave Circle PSL FL 34986 PID 3322-800-0012-000-1
(Parcel I&ILegal description/Address)
for which 1 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.
Thomas Mayrides
Property Owner Name (Please Print)
Property Owner Signature
STATE OF FLORIDA, COUNTY OFaU�ti�
8123/21
Date
ACKNOWLEDGED BEFORE ME THIS DAY OF
BYE 6 , WHO IS PERSONALLY 7fTOM)
(� OR WHO HAS
PRODUCED�C�+�� ��r.1�.1[� AS IDENTIFICATION.
SIGNATURIAV
NOT Y PUBLIC
��aY►t;r••• JANA L. BRIDGE$
A* Commission # HH 041043
ExpilesSeptember 13,2024
Balled Tlru Tray Fain Insivance BtI4395.7019
SLCPDSD Revised 04/1 11201 1
TYPE OR PRINT NOTARY
(SEAL)