HomeMy WebLinkAboutFILLED LAND AFFIIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
SCAN (772)462-1553
StLUC a FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
4224-501-0035-000-2 / TreasureCoast Air Park lot 35 / Waldo Pepper Drive
(Parcel Id#/Legal description/Address)
for which I have applied to St.
accepting this Final Development
that as owner of the above de
7.04.01(D), St. Lucie County Land
adequate drainage so that the imm
I further acknowledge that in gran
St. Lucie County is neither oblige
adequate drainage off my prope
community.
James G & Roma M Murphy
Property Owner Name (Please Print)
STATE OF FLORIDA, COUNTY OF v
ACKNOWLEDGED BEFORE ME THIS
BYd-
PRODUCED
/0 t-ty-7
Icie County for a Final Development Permit. In
-rmit, BP Number , I acknowledge
ribed property, and in accordance with Section
evelopment Code, I shall be responsible for assuring
iate community WILL NOT be adversely affected.
Ig this permit for the development of this property,
nor liable to provide for, or maintain in any form,
r which will not adversely affect the immediate
2 0
Date
In
DAY OF fo 20 ,i
PERSONALLY KNOWN TO ME OR WHO HAS
AS IDENTIFICATION.
3 77 U —
12. -G c-
--FtPE OR PRINT NOTARY
NUMBER Rebel' pima
'��e�l¢u�r-; Commission# GG060876EAL)
. ' January 9.20�
y B +a d ihm MM Nota�Y
SLCPDSD Revised 04/11/2011