HomeMy WebLinkAboutLot 33 TF Filled Land Affidavit 9.23.2021/ a133 7�,
PLANNING & 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 pr rty,
c3 9d� �f
(Parcel Id#/Legal desc iption/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number% , 1 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.
. chad sosnowski
0 Property Owner Name (Please Print)
19 a�arte� 9/7/2021
operty Owner Signature Date
STATE OF FLORIDA, COUNTY OF
ACK OWLEDGE BEFORE ME T IS _DAY OF " -� 20�
B �9 WHO IS PERSO ALLY KNOWN TO ME (_) OR WHO HAS
PRO ;;UCED
AV—
S IGf4 AT UR E 0 AITY TILIC
COMMISSION NUMBER
SLCPDSD Revised 04/11 /2011
AS IDENTIFICATION.
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MY COMW
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=v EXPIRES: July 27, 2025
Bonded Thru Notary Public Underwriters