HomeMy WebLinkAboutFILLED LAND AFFIDAVIT PLANNING & DEVELOPMENT SERVICES DEPARTMENT
a Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553 RECEIVED
FILLED LAND AFFIDAVIT AUG 2 6 2021
ST. Lucie County, Permitting
I, the undersigned, am the owner of the following described property,
3402-610-0460-000-8 / INDIAN RIVER ESTATES-UNIT-09- BLK 85 LOT 36/ 61(
(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.
Larry Quick
Property Owner Name(Pleg§o Print)
06/11/2021
Proper y Owner Signature Date
! �� �11 C Q
STATE OF FLORIDA,COUNTY OF �
ACKNOWLEDGED BEFORE M��)E THIS ' DAY OF UJ�j 20C,
BY WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
PRODUCED L. AS IDENTIFICATION.
C4
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SIG TUkE OFINOTARY PUBLIC TYPV OR PRINT NOTARY
WS COMMISSION NUMBER
(SEAL)
A"'yp""O LYSA JANE CAREW
SLCPDSD Revised 04/11/2011 MY COMMISSION 9 GG941663
F;F�oP°EXPIRES:December 19,2023