HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
r� 2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
SCANNED (772) 462-1553 6`?' �f 7 { } 'yip
� .
BY �11� DEC 2 s 2o�a n
St Lucie Ceunl-Y FILLED LAND AFFIDAVIT
P"Y........................
I, the undersigned, am the owner of the following described property,
Parcel ID: 3419-510-0231-000-9 / 581 Beach Avenue, Port St. Lucie, FL 34952
(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.
Herbert & Kathleen Yancy
Property O er Name (Please Print)
P'foperey Otner Si ature
cr-
STATE OF FLORIDA, COUNTY OF !!!:� k �,)C
12/28/2017
Date
ACKNOWLEDGED BEFORE ME THIS 9 DAY OF `�( , 20 \0 ,
BY� pr r� b�Q�Y1�G ��la 1CT O IS PERSONALLY KNOWN TOME (El OR WHO HAS
PRODUCED \\C qAS IDENTIFICATION.
SIGN OF NOTARY PUBLIC ME OR P NOTARY
Io,--1Y COMMISSION NUMBER Jamie Greulich
COMMISSION # FF156MAL)
EXPIRES: Sept. 3, 2018
www AARONNOTARY?COM
SLCPDSD Revised 04/11/2011