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,
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.
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Property Owner igna a DatZ
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED B FORE ME THIS DAY OF 0 z
BY /irl/ 3T WHO JSjBERSQ--N r r " NzXO ME ( ) OR WHO HAS
PRODUCED AS IDENTIFICATION.
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SIG/N�ATUR�fEI% / T Y P L
IICOMMI.SSION NUMBER
SLCPDSD Revised 04/11/2011
TYPE OR PRNT NOTARY
(SEAL)
W-D
Notary Public State of Florida
Heather C Dahlin
My Commission HH 029010
Expires08105/2024
C.
OR BOOK 462 0 PAGE 24:s
Exhibit "A"
Lot 15, Block 1389, POINCIANA NEIGHBORHOOD 1 SOUTH, VILLAGE 1, according to the map
or plat thereof, as recorded in Plat Book 3, Page(s) 9 through 16, inclusive, of the Public
Records of Osceola County, Florida.
wage 2 or 2
2237 - 2690708