HomeMy WebLinkAboutFILLED LAND AFFIDAVITf
PLANNING & DEVELOPM1
Building & Code
2300 VIRG
FORT PIERC
(772)
FILLED
I, the undersigned, am the owner of the fo
3425-704-0012-000-2
T SERVICES DEPARTMENT
-gulations Division
IA AVENUE,
FL 2 1553 $,-�6�2 SCANNED
AFFIDAVIT
described property,
BY
St.Lude'00
,03
3616 Red Tailed Hawk Drive, Lot 7026 Port St. Lucie, FL 34952
(Parcel ld#/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 flu-ther 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 lily property wh ch will not adversely affect the immediate
community.
William Bushkie
Property Owner Name (Please Print)
Property
STATE OF FLORIDA, COUNTY OF Hillsborough
ACKNOWLEDGED BEFORE ME THIS 12th
BY William Bushkie
PRODUCED
kJI( NATURE OF��N]]O-yI-AII:Y i�UBLIC
C� n '(C')MMISSION NUMBER
SLCPDSD Revised 04/1 1/2011
3/12/18
Date
Y OF March
2018
WHO IS PERSONALLY KNOWN TO ME (1 r i) OR WHO HAS
AS IDENTIFICATION.
OR PRINT NOTARY
, LAURIE KINDLE
(SEAL) _*. MYCOMMMION # GG 172276
EXPIRES: February 24, 2022
80fl"ThruNftyPuAicur&rmiLrs 1'.