HomeMy WebLinkAboutLilly Lopez (St Lucie) - Filled Land Affidavit 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 property,
1301-601-0133-000-3 LAKEWOOD PARK-UNIT 1-BLK BLOT 4(MAP 13/14N) 7602 San Carlos DR Fort Pierce, FL 34951
(Parcel Id#/Legal descripdon/Address)
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.
Reinaldo Deleon
Property Owner Name(Please Print)
Property Owner Signature 11 11 ,, Da
STATE OF FLORIDA,COUNTY OF �1J� 6z
ACKNOWLEDGED L BEFORE!ME THIS � DAY OFfi
BY i3�N��. .c Dn WHO IS PERSONALLY KNOWN TO ME(9 OR WHO HAS
PRODUCED AS IDENTIFICATION,
(-ewj?' ?(95NTL
A OF NOTARY PUBLIC TYPE OR PRINT NOTARY
�COMMISSION NUMBER py Ledilix Puente
COMM4NO i GG2W2
EXPIRES: July 2, 2022
Bonded Thru Aaron Notary
SLCPDSD Revised 04/11/2011