HomeMy WebLinkAboutFILLED LAND AFFIDAVIT 11-2-18r I
SCANNED
BY
St�Lucie Country
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
�F-ffi Buildiing & Code Regulations Division
2300 VIRGn1IA AVENUE
® FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
1423-566-0026-000/9 / Lo
(Parcel Id#/Legal description/Addy
Public Records of St. Li
for which I have applied to
accepting this Final Developer.
that as owner of the above
7.04.01(D), St. Lucie County L
adequate drainage so that the i
I further acknowledge that in 1
St. Lucie County is neither ol:
adequate drainage off my pr
community.
Barbara F. Lynch
Owner Name (Please Print)
Property Owner Signature
MASSACHUSETTS
STATE OF M09M, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS
BY Barbara -F. L
PRODUCED
23, Tarpon Flats Subdivision, as per plat
;s)thereof, recorded in Plat Book 69, page 27,
.ie County, Florida
t. Lucie County for a Final Development Permit. In
nt Permit, BP Number �klog.- `. I acknowledge
described property, and in accordance with Section
nd Development Code, I shall be responsible for assuring
imediate community WILL NOT be adversely affected.
-anting this permit for the development of this property,
.ged nor liable to provide for, or maintain in any form,
perty which will not adversely affect the immediate
11/02/2018
Date
DAYOF November 20 18
WHO IS PERSONALLY KNOWN TO ME (-I/) OR WHO HAS
IDENTIFICATION.
/y,
GNATURE OF NOTARY UBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
(SEAL)
SLCPDSD Revised 04/11/201 I
JOSEPH E. SMITH, CLERK OF THE
CIRCUIT COURT - SAINT LUCIE
COUNTY FILE #45002560 OR BOOK
4201 PAGE 2521 Recorded 11/09/2018
12:10:37 PM
JUDIANNENblO'9RIEN
EACH Public
COfMY0N1MEALTN OF
lhy,Cbmmission Expires
J411/ 16, 20P0