HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT
1, the undersigned, am the owner of the following described property,
2433-141-0002-000-4
(Parcel Id#/Legal description/Address)
for which I have applied to St. Lucie County for a Final Develo ment Permit. In
accepting this Final Development Permit, BP Numbero7 "� 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 WELL 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.
Florida Treasure Coast Holdings
Proper'
Owner Na. Amee((Please Print)
V.
Property Owner Signature
STATE OF FLORIDA, COUNTY OF .z Lu: (
9/10/2021
Date
ACKNO LEDGED BEFORE ME THIS - ` 11 DAY OF ! � 20�_
BY 04try Q " ' CY�� IIAWHO IS PERSONALLY KNOWN TO MEX OR WHO HAS
PRODUCED
SIGNATURE OF NOTARY PUBLIC
/3 COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
AS IDENTIFICATION.
N601 a &n�SWN
ffPt OR PRINT NOTARY
by Notary Public State of Florida (SE
)
�; Nicollette Benichio
y c� My Commission GG 239673
Expires 07/1812022
RECEIVED
SEP 10 2021
Bt, Lucie County
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