HomeMy WebLinkAboutFilled Land AffidavitCOUNTY
ST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
772-462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property: Ran e 39E,
#1301 111 nnn1 nnn S Fa_s_t of Sec t-inn 1 toy -,hip 7
(Tax ID/L.egal descnprlon/Address)lying N&W of Turnpike FeedE
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.
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Property Owner Name
STATE OF FLORIDA, COUNTY OF�S17' T 11 c, i P
A
ACKNOWLEDGED BEFORE ME THIS DAY OF
BY IWA101E7t) 64 " N IA"Ve WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
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SIGNATURE OF NOTARY
NOTARY PUBLIC TITLE
IDENTIFICATION.
TYPE OR PRINT NAME OF NOTARY
(SEAL)
COMMISSION NUMBER
DOROTHY ANN BASKIN
��IPRY PV6
;_°, "`o; Notary Public -State of Florida
« : • e My Conm. Expires Oct 2, 2016
� "°:� Commission # FF 015226
Bonded Through National Notary Assn.