HomeMy WebLinkAboutFILLEDLANPLANNING & DEVELOp
� MENT SE
Building & Code RVICES DEp`�TMENT
Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FLLLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following describ
3410-603-0093-000-7 ed property,
(Parcel Id#/Legal description/Address)
for which I have applied to St. Lucie Count
accepting this Final Development Permit BP
y for a Final Development Permit. In
owledge
that as owner of the above described Property
7.04.01 D p p y, and in accordance I with
n Section
( ), St. Lucie County Land Development Co'
I shall be responsible adequate drainage so that the immediate community WILL NOT b
I further acknowledge that in granting this permit for the p ble for assuring
-� e adversely affected.
St. Lucie County is neither obliged nor liable to provide ffor,eoorpmaintaiment f this property,
adequate drainage off my property which will not adversely affect then any form,
community.
Immediate
JOSE GUZMAN
Property, O er Name (Please Print)
Prop t Wner Signature
Date
STATE OF FLORIDA, COUNTY OF I `' S (06 ro
ACKNOWLEDGED BEFORE ME THIS 2 c) 'DAY OF
BY �7 `' `-?= L-� WHO IS PERSONALLY KNOWN TO ME
jj (0) OR WHO HAS
PRODUCED n I t
SLCPDSD Revised 04/11/2011
�, /w• AS IDENTIFICATION.
UBLIC TYPE OR PRINT NOTARY
SION NUMBER
(SEAL)
,mar Notary Public State of Florida
�P Tia L. Grose
Y My Commission
HH 164684
a EXp.8112/2025