HomeMy WebLinkAbout1508-0155 FILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
40000 alit
I, the undersigned, am the
FILLED LAND AFFIDAVIT
of the following described property,
3402- 608 - 012- 6 -000- 1? 4904 Sc�6tA?C, 2 , F T �Zt� CC , :P—L '34922
(Parcel Id#/Legal description/
for which I have applied to St. Lucie 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 granting 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 property which will not adversely affect the immediate
community.
TON &3 M aty-r:c
Pr rty O er Name (Please Print)
o erty Owne Signature Date
STATE OF FLORIDA, COUNTY OF ST l v C ZE
ACKNOWLEDGED BEFORE ME THIS 31 DAY OF .N Li 20 1 f
BY P FIB h l A!` �� _ WHO IS PERSONALLY KNOWN TO ME (� OR WHO HAS
PRODUCED
SIG ATURE OF NOTARY PUB
C E 6 g947COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
AS IDENTIFICATION.
/ -1 T t b o. n G LA N-o ?
TYPE OR PRINT NOTARY
(SEAL)
HILDA DE LA HOZ
i MY cOMMISSION # EE164979
- f u ` EXPIRES Faufuely 20, 2016
I407)388A153 FbtWallotetltswicemm