HomeMy WebLinkAboutFilled Land Affidavit - 5802 Killarney Ave_SignedPLANNING & DEVELOPMENT SERVICES DEPARTMENT
' Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FI. 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
1, the undersigned, am the owner of the following described property,
PARCEL 1D #: 1301-613-0043-000-2
(Parcel IM/Legal descripiionlAddress)
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 farm,
adequate drainage off my property which will not adversely affect the immediate
community.
434 21ST STREET LLQ
Pro er Name (Please Print)
Pr4m&tOwner Signature Date
STATE OF FLORIDA, COUNTY OF_�+ - L U U -e,
ACKNOWLEDGED BEFORE ME THIS DAY OP DtUMUtV 2021
BY �LPC C 11 �— WHO IS PERSONALLY KNOWN TO ME (ja OR WHO HAS
I�:i�]�lEl��fa7
S� t �I OF NOTARY PUBLIC TYPE OIL PRINT NOTARY
kfRD1j?-5 (Q COMMISSION NUMBER 1 Marina kenorn
Notary Public.
�x State of Florid; (SEAL)
Comma HH074,:-
Expires 6/24/2024
SLCPDSD Revised 04111/20t 1
AS IDENTIFICATION.