HomeMy WebLinkAboutFilled Land AffidavitST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
t FORT PIERCE, FL 34982-5652
F�OR10A 561462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property:
2532-560-0075-000-1/ Watersong PUD Plat ONE (PB 42-34) Lot 61
(OR 2200-1550) 4932 Watersong Way, Ft. Pierce, Fl. 34949
(Tax 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 . 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 form, adequate
drainage off my property which will not adversely affect the immediate community.
Property Owner Name Property Owner Sig;nature Date
STATE OF FLORIDA. COUNTY OF
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ACKNOOW�LLEDGED/ BEFORE
ME THIS DAY OF
BY _I ?-1 r)i-_Lf d -_WHO IS ERSONALLY KNOW O ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
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SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE 10kz . l COMMISSION NUMBER
(SEAL)
Ft_
PAMELAJTRUDEL
��MY COMMISSION # DD528262
hl'�pW EXPIRES: Mar.14,2010
(407)398-0163 Florida Notary SwAce.com