HomeMy WebLinkAbout002 FLA PLANNING& DEVELOPMENT SERVICES DEPARTMENT
e416-1;QEDW Building&Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-I553
FILLED LAND AFFIDAVIT
1, the undersigned, am the owner of the following described property,
340Z.60"163�010-&WDIAN RIVER ESTATES-UNIT SeLK 26 LOTS e.9 AND 10,LESS E 26 MA.LOT 6(MAP 34001N}(1.06 ACA%W4 SF)
(Parcel Id#/Legal description/Address) 705 E.Midway Rd.Ft Pierce, FL 34982
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.
Property Owner Name(Please Print)
'PfD ty Owner Signature Date
STATEOFFLORIDA.COUNTYOF J7 Luc-( e
ACKNOWLEDGEDBE`FORE METHIS Z P
y DAY O
BY JI.t.I I A 1�1 Q S-E)a. WLIO IS PERSONALLY KNOWN TO ME Ly l OR WHO HAS
PRODUCED AS IDENTIFICATION.
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SIGNATURE F NOTARY PUBLIC TYPE oR INT NOTARY
Vl' X512'Z COMMISSION NUMBEK -
Notary Publie Stele of Florida
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gWPDSD Rawiwd 04/11/2011