HomeMy WebLinkAboutFILLED LANDS AFFIDAVIT - 14439 DALIAST. LU:CIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34.982-5652
772-462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner Of the following described property:
#1306-111—nnna
(Tax ID/Legal des
criptiOn/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 r V1a wlznna `S
Property Owner Name
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS _d <' DAY OF Q C fD brx 20 a'f
BY_Mat_ thew Tyj e_MynnP WHOIS PERSONALLY KNOWN TOMEOR WHO HAS PRODUCED
/J AS IDENTIFICATION.
wi^ ^ i3cc� —P a R o-rH y 41yly �ASei n'
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE (SEAL)
. COMMISSION NUMBER
tiv Py DOROTHYANN BASKIN
MY COMMISSION#HH 045443
EXPIRES: October 2,2024
`';9�F�O• Bonded Thor Notary Public Underwriters