HomeMy WebLinkAboutFilled Land Affidavit - 7503 Belleair_SIGNEDPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-I553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
PARCEL ID #: 1301-607-0274-000-1
(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.
434 21 ST STREET LLC
Prop er Name (Please Print) r l II
Pro y Owner Signature Date
STATE OF FLORIDA, COUNTY OF 6YDWMV `
ACKNOWLEDGED BEFORE yME THIS 1 1 DAY OF QL W r 1 bZ Z 20 1
BY an { J^WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
PRODUCED
4NVM 1n oali nk Kelhow
1S�iAAR—EOFNOTARYPUBLICt TYPE OR PRINT NOTARY
7
'L7 d l 1 -5U COMMISSION NUMBER
Marina Rennin
Notary PutGc (SEAT.)
0 State of FioriCa
. ra.
:s Corrimo HHIP 1, 25r
Expires 6/24/2014
SLCPDSD Revised04/11/2011
AS IDENTIFICATION.