HomeMy WebLinkAboutFILLED LANDS AFFIDAVIT - 13929 ENCANTARDOST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGDUA AVENUE
FORT PIERCE, FL 34982-5652
772-462-1553
FILLED LANDS AFFIIDAVIT
a
I, the undersig
ned, am the owner of the following described property: ��
#1306-117_nnn7_nnn/n•�7 th }
na,-+- 1371ag
(Tax'""-egaldescriptiOn/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 ly a��,
Property Owner Name
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF St_ LUc-
ACKNOWLEDGED BEFORE ME THIS---1L`! DAYOF 20 y{
BY Matthew T irje_ Wyk a e WHO Is PERSONALLY KNOWN To ME OR WHO HAS PRODUCED
SIGNATURE OF Nc OTARY
IDENTIFICATION.
TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE
- d+Ylh fAl
!{ 'r"" DCROTHY ANN BASKIN
� � �' MY COMMISSION # HH 045443
qI;P ` EXPIRES: October 2, 2024
"c?orj��`;�' Bo,,ded Tbru Notary Public Underwriters