HomeMy WebLinkAboutFILLED LANDS AFFIDAVIT - 14351 AMAPOLAST. LUCIE. COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
772-462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property:»�SX Nv-QgB�M
#13.06-111_nonl_n.nn/n• F/7 �a �o „ th i
(TaxID/Legaidescription/Address) northeasterly of I-95
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.
Matthew T,Vlp w3znna
Property Owner Name
Property Owner Signature Date
STATE OFFI-ARIDA, COUNTY OF _St_ Luc
ACKNOWLEDGED BEFORE ME TMS /O DAY OF 20=(
BY_ Mathew T � 1 a WyMne WnO IS PERSO��NALL�Y KN�OWN�TO "MF OR WHO HAS PRODUCED
SIGNATURE OF NOTARY
NOTARY PUBLIC TITLE
IDENTIFICATION.
141VIV 16A S1-i d
TYPE OR PRINT NAME OF NOTARY
(SEAL)
`7. DORO7HY MY COMMISSION#HH0454 3
EXPIRES: October 2, 2024
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