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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, GULLOTTI PL-ST LUCIE GARDENS 24 36 40 BLK 2 N 165 FT OF S 330 FT OF LOT 6 (Parcel Id#/Legal description/Address) for which I have applied to St. Lucie County fora 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. JOHN S AND/OR LYNNE K BRADY Propert Ower Name (Please Print) 5.2-1 ` ZI opert weer Signature Date STATE OF FLORIDA, COUNTY OF / f / agn A) ACKNOWLEDGED BEFORE ME THIS 214h-- DAY OF /] // 14 7 , 20j—/ , 13Y -y O NIu �. MO 7`,WHO IS PERSONALLY KNOWN TO ME (11) Olt WHO HAS PRODUCED Fiji— • �'�O " `f 77 -S% -/3�11a� -� y # AS IDENTIFICATION, SIS?WTURF OF N A PUBLIC - TYPE OR PRINT NOTARY , El" Is 105 COMMISSION NUMBER ,o►ArP�aG.: CHERYLA.FINK (SEAL) p Notary Public • State of Florida Commission 11 GG 216951 My Comm. Expires May 13, 2022 SLCPDSD Revised 04/11/2011 '