HomeMy WebLinkAboutFilled Land AffidavitST.LUCIE COUNTY
BUILDING & ZONING
2300 VIRGII U AVENUE
FORT PIERCE; FL 34982-5652
772-462-1553
FILLED `LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property: \SR S �5
#1 3.06-1 1 1 _t1pf11 _nnn /n; 6.17 3d 7- l a.neT—
(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 aceordance 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.
Match W Tyla Wynne YAW,
Property ' Owner Name
STATE OF FLORIDA, COUNTY OF
Property Owner Signature Date
ACKNOWLEDGED BEFORE ME THIS DAY OF 2o17
BY Matthew T SE1 e W yn n E, WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
SIGNATURE OF NOTARY
NOTARY PUBLIC TrrLE
IDENTIFICATION.
LI�Y4OTyty
TYPE OR PRINT NAME OF NOTARY
(SEAL)
;4"OMMI� I�MSKIN
F+ MY COMMISSION # GG 030145
EXPIRES: October 2, 2020
Bonded Thru Notary public Under wit,