HomeMy WebLinkAboutFilled Land Affidaviti
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
c� 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,
515 Nettles Blvd Jensen Beach, NY 34957
(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 1 57I,o 0,0, 1 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.
1.� . r)D Q V'Q_
A, a-) �t�
Property Owner Name (Please Print)
Barbara A Snyder C I" "'.
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF_ibi—_- L clQ _�
ACKNOWLEDGED BEFORE ME THIS ` 0 t DAY OF nc_L 662 r 20�5
BY�CLi DQIf�� ` )1 \V.�IQ(>�T WHO IS PERSONALLY KNOWN TO ME (� OR WHO HAS
PRODUCED13O l4q AS IDENTIFICATION.
�YC_
3SIGVAT!TE OF NOTARY UBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
PAYPL,4, ASHAHNA INGRAM
;•r , NotaryPublic • State of Florida
My Comm. Expires Dec 20, 2018
Commission # FF 177249
SLCPDSD Revised 04/11/2011 %°;,; :°`�� Bonded through National Notary Assn.