HomeMy WebLinkAboutFILLED LAND AFFIDAVITSCn
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St Lucie Couoiy
;.� -^.I PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUL
FORT MERCC. FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
3425-704-0012-000-2 3528 Red Tailed Hawk Drive, Lot 7022 Port St. Lucie, FL 34952
(Parcel Yd#/Legal description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Pernut, 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 g'tanting this permit for the development o f 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.
William Bushkie
Property Owner Name (Please Print)
" 3/12/18
Property caner Signa r e Date
STATE OF FLORIDA, COUNTY OF Hillsborough
ACKNOWLrDGED BEFORE ME THIS 12th DAY OF March
BY William Bushkie
OF NO'rAR4 PUBLIC
Ge4n2w)(D COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
2018
WHO IS PERSONALLY KNOWN TO ME (r r i) OR WHO HAS
TYPE OR PRINT NOTARY
AS IDENTIFICATION.
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EXPIRES: Febtuatyyr 24, 2022
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