HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building&Code Re ulations Division
• 2300 VIRGINIA AV—
ENUE
FORT PIERCE462 34382-5652
FILLED LAND AFFIDAVIT
1, the undersigned, am the owner of the following described property,
2429-604-0002-000-1 / TWISTED OAK ESTATES PHASE II PARCEL 2 / TBD LEWIS ST
(Parcel ld#/Legal description/Address)
for which I have applied to St. Lucie County for a Final Development
I acknowledge
Permit. In
accepting this Final Development Permit, BP Number
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
ge so that the immediate community _WILL NOT be adversely affected.
adequate draina
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:
M r C k 6 Q. i�
PropertyOwner Name (Plea in
2 Z Z
Property Owner Signature • Date
STATE OF FLORIDA, COUNTY OF S f L
i! (..I r"
Tit DAY OF / 2v1� erg �0 Z
ACKNOWLEDGED BEFORE ME THIS _
BY mil O—%06— S A. Z;^NL►j 1_ � WHO IS PERSONALLY KNOWN TOME ( ) OR WHO HAS
�
DUCED AsGs?IFI.c5�1►
J
SIGNATURE OF NOTARY PUBLIC TYPE OK PRINT NOTARY
G` �jI ZS�i3Q I COMMISSION NUMBER
t (SVowy Public State of Florida
f arum S Rost
liy Co �Ilt1jon 7 252301
SLCPDSD Rev i sed 04/1112011