HomeMy WebLinkAboutFilled Land Affidavit l -
ST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
® FORT PIERCE,FL.34982-5652
o _N o •': 772-462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property: !
5[5 �cL�6n AIL) 6 k�f Z.d &ck /66 kLQ-% P k�k 12—
(Tax ID/Legal description/Address). l 3,31 !LJ-011 a—00
for which I have applied to St.Lucie County for a Final Development Permit. In accepting
this Final Development Permit,BP Number Sao/02-?0,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 perm :it 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.
Property Owner Name Property Owner Signature Date
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STATE OF FLORIDA,COUNTY OF 7'C I�c t Q. {
ACKNOWLEDGED BEFORE ME THIS�_DAY OF C 209;�
BY S �l7 WHO IS PERSONALLY KNOWN TOME OR WHO HAS PRODUCED
AS IDENTIFICATION.
Nkci�� Mo�o���o
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
^ (SEAL)
NOTARY PUBLIC TITLE �o d COMMISSION NUMBER
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$FIS
Michael Mor�lvo
Notary Public
State of FloNda
Comm#HH625672
Expires 7/30/2024
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