HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
3321-501-0037-000-1 10930 Myrtlewood Lane Port St Lucie FI 34986
(Parcel Id#/Legal description/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.
Property Owner
STATE OF FLORIDA, COUNTY OF <5/— tva�/'
Date
ACKNOWLED ED BEFORE ME THIS �_ DAY OF I 2 �
BY� WHO IS PERSONALLY KNOWN TOME NOR WHO HAS
PRODUCED AS IDENTIFICATION.
Dff /,P� f:te)4'n-
�r'`, IGNAATT/U�R jE,O$FF NOTARY P LI TYPE OR PRINT NOTARY
& lh - nlJ U "� COMMISSION NUMBER
(SEAL)
-oOP P� Notary Public State of Florida
.T Desiree Flexen
My Commission GG 240666
SLCPDSD Revised 04/11/2011
ocao°e Expires 0712212022