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,
3402-610-0169-010-5 / Lot 24 Blk 76 Indian River Estates/TBD Tangelo Dr
(Parcel Id#/Legal description/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.
Jason Merritt
Propery Owner Name (Please Print)
9/13/21
P perty Owner Signature Date
STATE OF FLORIDA, COUNTY OF St Lucie
ACKNOWLEDGED BEFORE ME THIS 13
BY Jason Merritt
PRODUCED
SLCPDSD Revised 04/11/2011
DAY OF September 2021
WHO 1S PERSONALLY KNOWN TO ME ([a OR WHO HAS
Melissa McLeod
PUBLIC Y TYPE OR PRINT NOTARY
.(�pv"n� MELISSA ANN MCLEOD
Notary Public - State of Florida
9.. Commission # Hffift"
oF�°• My Comm. Expires Jul 12, 2025
Bonded through National Notary Assn.
AS IDENTIFICATION.