HomeMy WebLinkAboutFILLED LAND AFFIDAVITr
ST:UCIR COUNTY :'
BUILDWIG & ZONTN � ..r J-
2300 VIRGn4JA AVE qM DEC Z L017
FORT PIERCE; FL 34982-5652
772462-1553
St. Lucie County, FL
FILL = , AFC 1MA
I, the undersigned, am the owner of the following described property:1-:�-,,;1-;Lk u6�
#13_06-111—nnni_ nnn In - i... _ . _ _
(Tax ID/Legal descdPdOn/Address) 'northeasterly of I-95
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.
Matthc�r_� T yl a Wy�nF,, /� � 1\
Property'Owner Name Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS
BYr, n e mmO IS PERSONALLY RLOWN TO ME OR WHO HAS PRODUCED
S IDENTIRCATTION.
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE (SEAL)
. COMMISSION NUMBER
NyH
DOROTHYANN BASKIN
MY COMMISSION # GG 030145
EXPIRES: Octbber 2, 2020
Bonded Thiu Notary Pudic Underwriters
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