HomeMy WebLinkAboutFILLED LAND AFFIDAVITRECEIV" C JAN 25 2016
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PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property,
30(o I IN
(Parcel Id#/Legal
Palm City, F1 34490
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 fin Cher 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.
Mich I M ke
Property er a lea Print
Property O er ature
STATE OF FLORIDA, COUNTY OF Broward
ACKNOWLEDGED BEFORE ME THIS DAY OF
Date
20 15 ,
BY Michael Metzkes WHO IS PERSONALLY KNOWN TO ME
PRODUCED _
\ Denise Brown
SIGNATURE OPNOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
(SEAL)
��1P,�:.PyB4y DENISE BROWN
Commission # FF 140607
Expires November 4, 2018
SLCPDSD Revised 08/24/ 1W11"„}`, Bonded ThmTroyFainInsurance800-385-7019
OR WHO HAS
AS IDENTIFICATION.