HomeMy WebLinkAboutFILLED LAND AFFIDAVITSCANNED
BY
c;t I i trip ('rob,
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building ode Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 RECEIVED
(772)462-1553 1
LAND AFFIDAVIT MAY 2 9 2018
Si. Lucie County, Permitting
I, the undersigned, am the owner bf the following described property,
3409-804-0003-000-3/6311 Oleander Ave., Ft. Pierce, FL 34982
(Parcel Id#/Legal description/.
for which I have applied to
accepting this Final Developm
that as owner of the above
7.04.01(D), St. Lucie County L
adequate drainage so that the is
I further acknowledge that in 1
St. Lucie County is neither ob
adequate drainage off my pr
community.
Philip Tatarowicz
Property Owner Name (Please Print)
Property Okn6r Signature
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS _ q
BY
i#lt- nP /K . 'f'�i 20 w FCZ.
V2
PUBLIC
C7817� COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
Lucie County for a Final Development Permit. In
Permit, BP Number 1803-0704 , I acknowledge
scribed property, and in accordance with Section
Development Code, I shall be responsible for assuring
ediate community WILL NOT be adversely affected.
ting this permit for the development of this property,
:d nor liable to provide for, or maintain in any form,
rty which will not adversely affect the immediate
5-1-1y
Date
_ DAY OF R4 1 20 / g
WHO IS PERSONALLY KNOWN TO ME �OR WHO HAS
c�5 AS IDENTIFICATION.
—Tp%,eA5 R.urg�_ *�-- 4--(7-4.r�4PA
TYPE OR PRINT NOTARY
(SEAL)
otP �,,, TOMAS RUIZ DE LUZURIAGA
[M,'I
Notary Public - State of Florida
Commission # FF 178175
° My Comm. Expires Nov 19, 2018