HomeMy WebLinkAboutFilled Land Affidavit - 7008 Eden Rd_SIGNEDPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462- t 5 53
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
PARCEL I D #: 1301-614-0196-000-2
(Parcel W/LegaI 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 21ST STREET LLC
Property er Name (Please Print)
Pro C]wner Signature Date
STATE OF FLORIDA, COUNTY OF
Sj . l-V U -C,
ACKNOWLEDGED BEFOr,,
R�EMETHIS � T DAY OF Ll i U � � W-r 2fl 11 � ,
BY 1U h eV V Y 1 [I,--
I� WHO IS PERSONALLY KNOWN TO ME [� OR WHO HAS
PRODUCED
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SLCPDSD Revised 04111/2011
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TYPE OR PRINT NOTARY
` Mwina Renom {SEAL)
Notary Public
State of Florida
Commp HH014256
Expires 51241Z024
AS IDENTIFICATION.