HomeMy WebLinkAboutFilled 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 -606-0100-000-8/ LAKEWOOD PARK UNIT 6 , BLK 62, LOT 1817803 FORT WALTON AVE
(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.
PORT ST LUCIE P ?ERTIES, INC.MARK MONTALTO
Property Owne • ame ,p' ease Pri /
< / 0 3?
Propert Owner Signature, Date
STATE OF FLORIDA, COUNTY OF St. Lucie
ACKNOWLEDGED BEFORE ME THIS > DAY OF 20
BY Mark Montalto WHO IS PERSONALLY KNOWN TO ME ❑U OR WHO HAS
PRO UCED AS IDENTIFICATION.
Shannon Mittler
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
APM44%0�% MIITLER
ON A GG 203869
une 11, 2022
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SLCPDSD Revised 04/11 /2011