HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 YIRGrNlA A VENUE
FORT PlERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
3402-609-0238-000-9, IRE, Lot 19, Block 58- 5604 Hickory Dr
(Parcel ld#/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 resp onsible 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 main tain in any form,
adequate drainage off my property which will not adversely affect the immediate
community.
PORT ST LUCIE PROPERTIES, INC-MAR MONT AL TO
STATE OF FLORIDA, COUNTY OF_S_t_. L_u_c_i_e _____ _
u,/17/.21Oat ACKNOWLEDGED BEFORE ME THIS __ /_7 __ DAY OF _ _,_,V:__,c,c__/ _____ �• 2od2 /
BY Mark Montalto
_____ COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
WHO IS PERSONALLY KNOWN TO_ME LI> OR WHO HAS (
(SEAL)