HomeMy WebLinkAboutFilled land AffidavitPLANNING &DEVELOPMENT SERVICES DEPARTMENT
* Building & Code Regulations Division
IIII 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,
3424-800-0164-000-4 Fairways at Savanna Club Replat No.1 (PB 57-40) ELK 75 LOT 2/ 7916 McClintock Way Port St. Lucie, FI, 34952
(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
ackowledge
that as owner of the above described property, and in accordance I w hil Section
7.04,01(D), St. Lucie County Land Development Code, I shall be responsible for assuring
adequate drainage so that the immediate community WIL__L 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.
kA -i-1. °-t AA ) $ 0 Ll�
Property Owner Name (Please Print)
Zroprty 0«a1 gnatttre Defte
STATE OF FLORIDA, COUNTY OF-'S± L, C i F!
ACKNOWLEDGED BEFORE ME THIS
_%� DAY OF4nr��l� 20,2,2
B}' -- - _---------_----- ---- W140 IS PERSONALLY KNOWN TO M
(0) OR WHO HAS
PRODUCED
AS IDENTIFICATION.
�TARYGISIGNATU OF NOTARY PUBLIC TYP OI NT N
�� [bLCOMMISSiONNUMBER
(SEAL)
SLCPDSD Reviscd 04/11/2011 �
MARGARET SCHAEFER
Notary Public - State of Florida
Commission # HH 068107
Or °` My Comm. Expires Mar 30, 2025
Bonded through National Notary Assn.