HomeMy WebLinkAboutFILLED LAND AFFIDAVITCOS N Y
ST. LUCIE COUNTY
BUMDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
772-462-1553
FILLED JANDS AFFIDAVIT
I.
I
[. I, the undersigned, am the owner of the following described property: ' 4 44S Range
ty nn �; Fa St 3 of section 1 townsbi n
#1 311 1 nnnl n�Range 39Er
�! (Tax ID/Legaldescription/Address)lying N&W of Turnpike FeedE
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
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.
matt— ew T yl P WvnnP
Property Owner Name
Property Owner Signature Date
STATE OF FLOR1DA, COUNTY OF c; t- T U_r, i P
ACKNOWLEDGED BEFORE ME THIS _o2,5 DAY OF /' ` V" 20 '?
7r}
BY(Fj,�� LYC/N� WHO IS PERSONALLY KNOW�O ME OR WHO HAS PRODUCED
SIGNATURE OF NOTARY
NOTARY PUBLIC TITLE
S IDENTIFICATION.
sr—r• )
TYPE OR PRINT NAME OF NOTARY
COMMISSION NUMBER
"— 6ROTHY ANN BASKIN
.�Ip�: F:BIi�•.
MY COMMISSION # GG 030145
= EXPIRES: October 2, 2020
%ad.•c4: Bonded Thru Notary Public Underwdtars
(SEAL)