HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building 8� Code Regulations Division
23,bO VIRGINIA AVENUE SGANNkg
FORT PIERCE, Fl, 34982-5652
(772) 462-1553 BY
I St Lucip GountV
I, the undersigned, am the owner o
All of lot 2, Block E, Dorian Subdi
Book 9, Page 22 of the Public Reci
(Parcel ld#/Legal description/Address)
LAND AFFIDAVIT
the following described property,
ision, According to the plat therof as recorded in plat
..ds of Saint Lucie County, FL
for which I have applied to St. ucie County for a Final Development Permit. In
elopm
accepting this Final Dev, [ent Permit, BP Number I acknowledge
t
that as owner of the above d scribed property, and in accordance with Section
i r
7.04.01 (D), St. Lucie County Lani 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 gra7ting 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.
Ralph Ray
Property Owner Name (Please
01/13/2016
Owner SWature/ I Date
STATE OF FLORIDA, COUNTY OF Saint Lucie
ACKNOWLEDGED BEFORE ME THIS
BY Kail?n Rgy
Z p
L�4
SIdNAPRE OF NOT
EE1777496 —C(
SLCPDSD Revised 04/11/2011
NUMBERI
DAY OF January 120 16
WHO IS PERSONALLY KNOWN TO ME CX_) OR WHO HAS
AS IDENTIFICATION.
Kristina E. Davis
TYPE OR PRINT NOTARY
144L. MWINA EUZABETH DAVIS
MY COMMISSION# EE177496
EXPIAES March 08, 2016
f407) 398-0153 RoOdallotarySeml6e,cm