HomeMy WebLinkAboutFilled Land Affidavit`q
tL_
'...bLfill.
PLANNING & DEVE, LOPME, NT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LANDS AFFMAVIT
I, the undersigned, am the owner of the following described property,
3058 NW Radcliffe Way Palm City, Fl 34490 4425-703-0020-000-8
(Parcel Id#/Legal descriptlon/Address)
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.
Scott Harala
Property Owner Narne (Please Print)
6/2/2017
Proper . w5er 8ignature Date
STATE OF FLORIDA, COUNTY OF.
Brol
ACKNOWLEDGED BEFORE ME THIS 2 DAY o1- June
20 17
BY Scott Harala WHO IS PERSONALLY MOWN To ME OR WHO HAS
PRODU//ED
�
AS IDENTIFICATION.
t---SIGNATURE OF NOTARY PUBLIC j TYPE OR PRINT NOTARY
COMMISSION NUMBER
(SEAL)
Al
SANDI COOPER
- ZIA PO h,
0 — �%, Notary PUUIIc -State of Florida ,
SLCPDSD Reviscal r, . Commission # FF 915690
_;�120
My Comm. Expires Sep %, 2019
;°�'� Bonded through Platianal Notary Assn. t
0;