HomeMy WebLinkAboutFILLED LAND AFFIDAVIT1
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
n. 2300 VIRGINIA AVENUE
FORT PIERCE, FL34982-5652 LE4IVED
(772)462-1553
2018FILLED LAND AFFIDAVIT aduciecad'o-tv P !-
Y, G 71iCf9r,c,
I, the undersigned, am the owner of the following described property,
3402-608-0308-000-8 / Indian River Estates -Unit 07-131k 49 Lots 6&7(.46ac)(Map 24/02S)(Or3256-253:3258-1376)
(Parcel Id#/Legal description/Address) 5112 Myrtle Dr, Ft Pierce, FL 34981
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.
-0. Gehrig
Owner Naa (Please Print)
l;z-.
Date
STATE OF FLORIDA, COUNTY OF�—
ACKNOWLEDGED BEFORE ME THIS DAY OF ✓y1 /y 20 / ,
BY _&)&f/! �e�t/ !, WHO IS PERSONALLY KNOWN TO ME CaOR WHO HAS
PRODUCED
4z, d �,/"
SIGNATURE OF NOTARY PUBLIC
AS IDENTIFICATION.
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TYPE OR PRINT NOTARY
COMMISSION NUMBER
,.,FLY pgi, EILEEN A. QECICCQ
,•':4 �` S Notary Public'- StatlWA*Ida
Commission I FF 938216
' My Comm. Expires Jan 29.2020
•''F Oi Fed BaWed Ndlanal Notary Assn.
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SLCPDSD Revised 04/11/2011