HomeMy WebLinkAboutFilled Land AffidavitST:'LUCI COUNTY
BUILDING & ZONING
2300 VIRGMA AVENUE
FORT PIERCE; FL 34.982-5652
772-462-1553
FILLED -I- - DS, AFFIDAVIT
I, the undersigned, am the owner of the following described property: (v;`kO6
#1306-111—nonl_n.nn/0; 6.17 14 '19all _trT?��a,-t
(Tax ID/Legaldescription/Address) northeasterly of I-95
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.
Matthew Tula wXnne `� \
Property Owner Name
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS_ DAY OF 2p.L2
BY. Matthew LyI � WvnnP wliO IS PERSONA Y KNOWN TO ME OR WHO HAS PRODUCED
Aje:-�
SIGNATURE OF NO ARY
NOTARY PUBLIC TIME
IDENTIFICATION.
�7 G2 o'Tk Y f�N N r�ASKr.J
TYPE OR PRINT NAME OF NOTARY
COMMISSION NUMB(SEAL)ER
DORaTHYANN BASKIN
MY COMMISSION # GG 030145
EXPIRES; October2, 2020
•, F ,�q� Bbnded Thtu Notary Public Underwriters