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
I, the undersigned, am the owner of the following described property,
13 35 38 FROM NE COB OF SW 1/4 OF SE 1/4 RUN S ALG C/L TROWBRIDGE RD 858.51 FT, TH W 30 FT TO POB, TH S ALG W R/W SD RD 159 IT, TH W
2213-434-0002-000.7 608.93 FT, TH N 159 FT, TH E 608.93 FT TO POB (2.22 AC) 2115 Trowbridge RD. Fort Pierce, FL 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.
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Property weer Name (Please Print)
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Pdnp5AfiYwri_er Signature Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS — DAY OF 1 ' 2041-1
BY Q(� a I /y \ �1' i P` 1, rid S WHO IS PERSONALLY KNOWN TO ME (a OR WHO HAS
PRODUCED y C l lAS IDENTIFICATION.
SII NATURE OF NOTARY PUB TYPE OR PRINT NOTARY
G► GG 3 COMMISSION NUMBER
SEAL)
L5py Notary Public State of Florida
Heather VizzO
My Commission GG 262653SLCPDSD Revised04/11/201I Expires II/13/2022