HomeMy WebLinkAboutFilled Land Affidavit•
PLANNING. & DEVELOPMENT: SERVICES. DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
DO VIRG]W1A AVENUE
)FORT PIERCE, FL 34982-5652'
(772)462-1553
FILLED LANDS AFFIDAVIT
1,. the undersigned; am the owner of the following described property;
Parcel #3414-501-3203-000/2/2541.SE Walton Road;,Pprt St. -°Lucie,. FL 34952
(Parcel Idli/Legal deseription/Address)
for which I:: have. applied to St. Lucie County fo; . a :.Final. Development Permit. - In
accepting this Final 'Developinent Permit', BP'Number:: 140U094 I acknowledge
that as owner of the above described . property; and'-. in:: accordance with . Section
7.04.01(D)i St. Lucie County Land Development Code, I shall be responsible, for assuring:
ad uate drainage so that the immediate community WELL -NOT be. adversely. affected-:
..
I further acknowledge that in granting. this permit for the development' of thl..s .property,
St..Lucie County is :neither obliged nor liable to. provide. foi, or. maintain in any form;
adequate, drainage off my property .which - will not: adversely affect the immediate
community.
Property. Owner Name (Pkme. Print)
.0
Property Ownei $ifnature. Date
STATE OF FLORMA, COUNTY OF •i Ckwy1 C LX ' l
ACKNOWLEDGED BEFORE ME THIS _
DY V.I
PRODUCED
3 DAY OP
!1 WHO IS PERSONALLY.KNOWNTOMfi ORWHO'HAS
AS IDENTIFICATION.
TYPE OR PRINTNOTARY
COMMISSION NUMBER
(SEAL)
DEBRA C:8M6
WARZ.
+.. . �s Notary Public pt Florida
3' : • F M_ y Comm. Expiray 10; 2015
SLCPDSD Rev(sed:08n4no10 ',; ��� �oPACOmmissioo 92788'Bonded Through NaNotary Assn.