HomeMy WebLinkAboutFILLED LANDS AFFIDAVIT - 13964 ADELFAST. LU:CIE COUNTY
BUILDING & ZONING
2300 VIRGDUA AVENUE
FORT PIERCE; FL 34982--5652
772-462-1553
FILLED CADDIS AFFIDAVIT
I, the undersigned, am the owner of the following described property:
(Tax ID/Legal description/Ad(iess) northeasterly of I-95
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 developent of this property, St. Lucie County is neither obliged
nor liable to provide,for, or maintain-, n any form, adequate drainage off my property which
will not adversely affect the immediate community.
Mattb,-w TA le WT 7nna a �Q
Property Owner Name
Property Owner Signature Date
STATE OF FGORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS _� DAY OF RC.! 20-
BY Matthew r�r1e L ynnEP WHO IS PERSONALLY KNOWN TO ME OR wHo HAS PRODUCED
//n�n AS IDENTIFICATION.
61 N
SIGNATURE OF OTARY
NOTARY PUBLIC TITLE
)41viY
TYPE OR PRINT NAME OF NOTARY
(SEAL)
I,.w DOROTHY ANN BASKIN
' _,,.., ....'; - MY COMMISSION k HH C45443
':�.?�?: EXPIRES: October 2,2024
EO":''' Horded T :u Notary Public Underwriters