HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
SCA�^��� (7�72) 462-1553 %r�CE��®
BV
�UCB FILLED LAND AFFIDAVIT at
pevox, u `e Corr
St.
I, the undersigned, am the owner pf thei following described property,
3a ii�; -S 0) -w2s' - Oo a -o '/ I gsQ�� l io h ore, ` e;i J2,
(Parcel I& Legal description/Address) .Q � (_
i -It F'7
for which I have applied to St. Lucie County for a Final Development Permit. In N
accepting this Final Development Permit, BP Number , I acknowledge
that as owner of the above desciibed 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 granting -this permit for the development of this property,
St. Lucie County is neither obliged jn�r liable to provide for, or maintain in any form,
adequate drainage off my property which will ' not adversely affect the immediate
rnmmnnity_ i
6-0/--18
Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE ME THIS DAY OF 20�,
BY WHO IS PERSONALLY KNOWN TO ME yj!n) OR WHO HAS
PRODUCED AS IDENTIFICATION.
� � o L
SIGNAT OF NOTARY PUBLIC TYPE OR RINT NOTARY
2u5, COMMISSION NUMBER
C,AREY;Ll N Sl�
NOTARY PUBLIC_ MINNE30TA
My Comm..ExP. Jan. 31, 202!
SLCPDSD Revised 04/11/2011 t
JOSEPH E . SMITH, CLER17- -,7 THE CIRCUIT COURT - SAINT= - "JCIE COUNTY
FILE # 4441186 OR BO(". 4137 PAGE 2893, Recorded ( 30/2018 01:13:59 PM
Prepared bX and Rerum to:
I
i
Folio Number.
Permit Number;
I
i
(Space Above Thl � Line For Recording DILU)
NOTICE OF COMMENCEMENT
State of
County of
I
The undersigned hereby gives notice that improvement will be made to certain real property, and, in
accordance with Chapter 713, Florida Statutes,lthe following information is provided in this Notice of
Commencement.
i
1. Description of Property:
fiarcel: 3215-&Ol�c�o2��Gco -U
2. General Description or Improvements:
aad G-ky-w- jmpt)Vrow"s
i.,o-ra a
3. Owner information
Name and Address: zy-f�r(--O"4r �/�iI
a.
b. Interest in property: Fee Simple
c. Narrics and address of fee simple title holder (if other than owner):
4. Contractor: K. Gordon Construction, Inc.
5. Surety:
6. I.cnder:
7. Persons within fire State of Florida designated by Owner upon whom notices or oilier documents may
be served as provided by Section 713.13(1) (a)7., Florida Statutes.
8. In addition to himself, Owner designates the following persons in receive a copy ofthe Lienor's
Notice as provided in Section 713.13(1)(b), Florida Statutes.
9. Rxpiration date of Notice of Commencement (the expiration date is I year from date of recording
unless a different date is specified):
Notice Of Col unencement
OR BOOK 4137 PAGE 2 '—"
WARNING TO OWNER: ANY PAYMENTS MADE E
NOTICE OF COMMENCEMENT ARE CONSIDERED
PART I, SECTION 713.13, FLORIDA STATUTES, AN
IMPROVEMENTS ON YOUR PROPERTY. A NOTICI
POSTED ON THE JOB SITE BEFORE THE FIRST IN;
FINANCING, CONSULT WITH YOUR LENDER OR i
RECORDING YOUR NOTICE; OF COMMENCEMEN':
Witness:
'.. +Y Q .
Witness Printed Name
Rmte'v, dsmonXson Witness Ptinted Name
! THE OWNER AFTER THE EXPIRATION OF THE
-MPROPER PAYMNEI'S UNDER CHAPTER 713,
n CAN RESULT IN YOUR PAYING TWICE FOR
OF COMMENCEMENT1• MUCT BE RECORDED AND
PECTION. IF YOU INTEND TO OBTAIN
N ATTORNEY BEFORE COMMENCINTO WORK OR
Boyers):
State of
County of
i
The foregoing instrument was sworn to,
ss�ubscribed,�a}nd acknowledged before me this I day
of YYli7l� 2019, by je t11 t ttl llf 4 m�1C�
who (A—) are personally known to me or (i have produced as identification.
NOTARY PU TC CAREY LYNN STEELS
Printed Name: .. 5� CCL NOTARY PUBLIC-MINNE30'TA
} spy Cm, E)p. Jan. 31, 2R20
My Commission Expires: _ .. 01 �1 FZO
Under penalties of perjury, I declare that I have read the foregoing and the facts stated In it are true to the
t of my kitow d c and belied. _
_...---i
Signature ofN ral Person signing above
STATE OF COpIDA UNTY e c Re
ST. LUCIE CERTIFY THAT THIS IS A
•THIS IS To
CORRECT COPY OF THE k
TRUE AN
ORIGINAL • MITH CLERK
.1Qs,EPN ,
I Q`
Rc
BY oPuty C of
Notice Of Commencement 5
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