HomeMy WebLinkAboutFILLED LAND AFFIDAVITST: LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34.982--5652
772-462-1553
�ILL�� ;�AFFIDAVIT
I, the undersigned, am the owner of the
#13A6-111-[ nn-t_n.nn /n.' c 1-7
(Tax ID/Legal
described property: C:� �G�L� 9
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 farther 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.
Matth �� T1binnP
Property•Owner Name Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF S t_ L U i
ACKNOWLEDGED BEFORE ME THIS DAY OIF L 2
011
BY—Matth W T1 Wnnp WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
S.
S NATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE (SEAL)
• i
COMMISSION NUMBER
I
�VAV 00 Notary Public State of Florida
Julie Ninassi
�` My Commission GG 038942
orw°' Expires 10/16/2020