HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEV LOPMENT SERVICES DEPARTMENT
Buildin &Code Regulations Division
2300 VIRGINIA AVENUE
ORT PIERCE, FL 34982-5652
CANNED (772) 462-1553
BY
St Lucie Comb/ FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
3409-505-0008-000-0 H LON11E PINE LOT H 1312 LONE PINE DR., FT PIERCE
(Parcel Id#/Legal description/.
for which I have applied to t. Lucie County for a Final Development Permit. In
accepting this Final Developm nt 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 L nd Development Code, I shall be responsible for assuring
adequate drainage so that the i mediate community WILL NOT be adversely affected.
I further acknowledge that in ranting this permit for the development of this property,
St. Lucie County is neither o liged nor liable to provide for, or maintain in any form,
adequate drainage off my p operty which will - not adversely affect the immediate
community.
PETER & JENNIFER PIZZ�RELLO
Property Owner Name (Please Print
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Prop v Sianature laq
Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS 3 DAY OF 2�X%%' 20/ C3,
BY * [[/ 2-L�-1 !� p WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
PRODUCED �'T ' �/ V % / (� L AS IDENTIFICATION.
S GN PURE OF NOTARt PUBLIC I } TYPE OR PRINT NOTARY
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SLCPDSD Revised 04/11/2011