HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & ICode Regulations Division,
230�O VIRGINIA AVENUE
FOR PIERCE, FL 34982-5652
(772)462-1553
is
"
I, the undersigned, am the owner
3321-5'0/-6eOq--600 —�
(Parcel Id#/Legal description/Address)
LAND AFFIDAVIT
following described property,
S�DDLEP��2�
for which I have applied to St. L icie 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 further acknowledge that in grant' ge 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 prope7 which will not adversely affect the immediate
community.
Property Owner Name
Property Owner S'
STATE OF FLO A, COUNTY OF St. LVt•C
ACKNOWLEDGED BEFORE ME THIS
BY JCtvf AI P4AI&O 1
PRODUCED rCO(. A4 130^ C'I,Y-S(D
�SIG`NA,,yy
T��U��RE OF NOTARY PUBLIC
W V1 VO)LCOMMISSION NUMBER
SLCPDSD Revised 04/11/2011
5,24h / g
ate
DAY OF A"Ptc , 20 / T ,
) IS PERSONALLY KNOWN TO ME (9b OR WHO HAS
AS IDENTIFICATION.
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TYPE OR PRINT NOTARY
o,�iv Pie HE
MATTWADAM FALCO
•�� ° = Notary Public —State of Florida
Commission # GG 086492
�°=` My Comm. Expires Mar 24, 2021