HomeMy WebLinkAboutFILLED LANDS AFFIDAVIT - 14400 AMAPOLAST. LU:CIE COUNTY
BUILDING & ZONING
2300 VIRGINLA AVENUE
FORT PIERCE, FL 34982-5652
772-462-1553
FRILLED LANDS° AFFIDAVIT
#13I, the undersigned, am the owner of the following described property: �\y��p�,�06-119_nnnl nnn/n ti/7_ Ra 40 ,11 .,_.� _
(Tax ID/Legatdescription/Address) )northeasterly of I-95
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 7.04M(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.
Matthew T.Xlp n,ynnP
Property Owner Name
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS I (o DAY OF r✓ECL%1 /SC'K 20
BY _Matthew Tyje_Xynne wHOIS PERSONALLY KNOWN TO MF OR WHO HAS PRODUCED
Gio �-
SIGNATURE OFN ARY
NOTARY PUBLIC TITLE
IDENTIFICATION.
t Qi{a; FLY N-IVN /gR S7 ki A)
TYPE OR PRINT NAME OF NOTARY
(SEAL)
COMMISSION NUMBER
0OROTHY ANN BASKIN
R--.b"
MY COMMISSION SHH 045443
EXPIRES: Odober2,2024
` Bonded Thru Notary Public Undemiters