HomeMy WebLinkAboutFILLED LAND AFFIDAVIT�t Luci County
PLANNING & DRVELO MENT SERVICES DEPARTMENT
Building & ode Regulations Division
2300 GINIA AVENUE
FORT IERCE, FL 34982-5652 RECEIVED
(772)462-1553
APR 2 7 209
FILLEDI LAND AFFIDAVIT
57, kU910 G®BI1Sj+, fti`fflittin�
I, the undersigned, am the owner oft �e following described property, .'
?.,
3414-501-1009-250-5/St Lucie Gardens 24 36 BLK N 165 FT of W 1/2 of Lot 9 (1.25AC) (Map 34/24N) (OR 3579-1186) r
(Parcel Id#/Legal description/Address)
for which I have applied to St. L
accepting this Final Development I
that as owner of the above des(
7.04.01(D), St. Lucie County Land I
adequate drainage so that the imme(
I further acknowledge that in granti
St. Lucie County is neither obliged
adequate drainage off my propert
community.
Patrick Hoban
Owner Name (Please
STATE OF FLORIDA, COUNTY OF
BY
SIGNATURE
THIS
NUMBER
cie County for a Final Development Permit. In .
rmit, BP Number , I acknowledge
ibed property, and in accordance with Section
welopment Code, I shall be responsible for assuring
ate community WILL NOT be adversely affected.
g this permit for the development of this property,
for liable to provide for, or maintain in any form,
which will not adversely affect the immediate
r
DAY OF 20,
WHO IS PERSONALLY KNOWN TO ME (9 OR WHO HAS
TYPE OR PRINT NOTARY
(SEAL)
AS IDENTIFICATION.
SLCPDSD Revised 04/11/2011 �?j
Nodry PWft Stote of FbridoAnn omml AAy CommisNon FF 9Y962oEVres 08/07/2020