HomeMy WebLinkAboutFilled Land Affidavit - 7604 Lakeland_SIGNEDPLANNING & 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,
PARCEL ID #: 1301-607-0002-000-4
(Parcel td#ILegal descriptionlAddress)
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
Property Name [Please Print}
1 �--19 -- 0o
Property a ature Date
STATE OF FLORIDA, COUNTY OF aYOVd"
ACKNOWLEDGED BEFORE ME T141S I l DAY OF Pt LJGmbW _, 20 1
By n I L WHO IS PERSONALLY KNOWN TO ME ([�) OR WHO HAS
PRODUCED
�'1Cl.rlYl�, Kjwom
tS[P,XtLKE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
Tti lg25� COMMISSION NUMBER � Marina Renom
Notary Public
State of Florida (SEAL)
Comm# HH014256
* , Expires 61241202.E
SLCPDSD Revised 04/11R011
AS IDENTIFICATION.