HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINiAVENUE
FORT PIERCE, FL 34982-5652
(772) 40-1553
FILLED
I, the undersigned, am the owner of the fo
1301-605-0260-000-4 / LAKEWOOD PARK- UNIT
6104 E. SEMINOLE ROAD FORT PIERCE, FL
(Parcel Id#/Legal description/Address)
for which I have applied to St. Lucie (
accepting this Final Development Permit,
that as owner of the above described
7.04.01(D), St. Lucie County Land Develo
adequate drainage so that.the immediate c
I further acknowledge that in granting thi;
St. Lucie County is neither obliged nor li
adequate drainage off my property. whi
community. .
KEITH TAIG
Property Owner Name (Please Print)
Owner
STATE OF FLORIDA, COUNTY OF.
ACKNOWLEDGED BEFORE ME THIS l
BY `) &" 7� Q-
PRODUCED
G A UR�{E�OyF�NOTARY PUBLI
It T COMMISSION NUMBER
AFFIDAVIT RECEIVED !
z017
.ng described property,
50 N 84 FT OF S 224 FT OF W 120 FT OFTRACT 8
aunty for a Final Development Permit. In
BP Number , I acknowledge
property, and in accordance with Section
ment Code, I shall be responsible for assuring
mmunity WILL NOT be adversely affected.
permit for the development of this property,
able to provide for, or maintain in any form,
h will not adversely affect the immediate
- PIZ,
Date
)AY OF li1JC.t/J 20 L �,
IS PERSONALLY KNOWN TO ME ( n ) OR WHO HAS
AS IDENTIFICATION.
L YrL..P-n 21A at
I TYPE'OR PRINT NOTARY
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(SEAL)
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SLCPDSD Revised 04/11l2011 =� • �„ KRISTINA L GRUNZWEIG
MY COMMISSION # GG064087
''fo. EXPIRES January 18, 2021