HomeMy WebLinkAboutFilled Land Affidavit PLANNING & DEVELOPMENT SERVICES DEPARTMENT
s..1 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,
4425-703-0008-000-1 13192 NW Wheaton LN, Palm City FL 34990
(Parcel Id#/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 1711-0564 , 1 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 not liable to provide for, or maintain in any form,
adequate drainage off my property which will not adversely affect the immediate
community. y
'Scott Harala
Property Owner Name(Please Print)
Property caner Signature Date
STATE OF FLORIDA,COUNTYOF Broward
ACKNOWLEDGED BEFORE NIE THIS DAY OP _C ��- _ 2017
BY Scott Harala WHO IS PERSONALLY KNOWN TO ME( ])OR WHO IIAS
PRODUCED AS IDENTIFICATION.
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
C"-S COMMISSION NUMBER
(SEAL)
p 'SIVAN SHACHAR
MY COMMISSION#GG082944
SLCPDSD Revised 04/11/201 1 =�
�'!an? EXPIRES April 10,2021