HomeMy WebLinkAboutFilled land affidavit -MaciasPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRG1NIA AVENUE
FORT PIERCE. FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT
1, the undersigned, am the owner of the following described property,
1 2-1- Lj t I - uC-v 1- 000-- (P 3-o"s-toy) Ft Rene, P
(Parcel Id#/Legal description/Address) 3 401s
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.
L - M1, �C
Pro Owner Namt(Please Print)
Prop owner Si afore Date
STAR OF FLORIDA, COUNTY OF &5 w 6p,
ACKNOWLEDGED BEFORE ME THIS Yd DAY OF 1 t VO) 20 17
BY 1 CLk4 IL- N a U CkS WHO IS PERSONALLY Y gOWN TO ME {[E) OR WHO HAS
PRODUCED
AS IDENTIFICATION.
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SIDNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
OH 009(A 3 CONMSSION NUMBER
AMOKOETH MAGGART
t :t_ Cw nission # HN 0OB693
4s Expires June 10, M4
BwAW Thn Froy Fain MSura�ce 8�. 70:9
SLCPDSD Revised 04/11/2011