HomeMy WebLinkAboutFilled Land AffidavitST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE -
FORT PIERCE, FL 34982-5652
772-462-1553
FILLVD ,` .. ,, . AFFITiAVIT
I, the undersigned, am the owner of the following described property: ��QC12G
#1 3n1 -1 1 1 -nnnl-nnn-5r Fact z of Sae-i-ion 1 1-nwnchi p34S .Range 39E,
(Tax ID/Legal descdption/Address)ly�ing N&W of Turnpike FeeBE
j� 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
I; 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.
Mat-the-w T.�1 a Wynna Ax,
\�
Property Owner Name
Property Owner Signature Date
STATE OF FLORIDA. COUNTY OF_g t _ Tarr i a
ACKNOWLEDGED BEFORE ME THIS _C� DAY, OF 20 %
BY. Matthew Lyle Wynne WHO IS PERSONA Y KNOWN TO ME OR WHO HAS PRODUCED
SIGNATURE OF NOTARY
NOTARY PUBLIC TITLE
AS IDENTIFICATION.
Dorothy Ann Baskin
TYPE OR PRINT NAME OF NOTARY
n (SEAL)
! r by DOROTHT ANn� m
MY COMMISSION # GG 030145
1� F EXPIRES; October 2, 2020
Bonded Thiu Notary Public Underwriters