HomeMy WebLinkAbout0703-0320-FILLED LAND AFFIDAVITSCANNED ST. LUCIE COUNTY
BY BUILDING & ZONING
2300 VIRGINIA AVENUE
Lurie St. Le COU0 FORT PIERCE, FL 34982-5652
772-462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owne of the following described property:
N�CNn c-'\ 4::k.66 PAC% tea__ ecln- c' lz-� ';�L \-off
(Tax ID/Legal description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In accepting
this Final Development Permit, BP Number U763-432D, 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.
& �-Inaw a. / J�'J40AX ' `�71
Property Owner Name Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF C�A�1.�C \(—\
ACKNOWLEDGED BEFORE ME THIS DAY OF �Q ., 20ttJ
BY 1�►�lQ►Qi1.�`.. WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
IDENTIFICATION.
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
(SEAL)
NOTARY PUBLIC TITLE COMMISSION NUMBER
,:nr a�•
••• STELUlM.HUNTER
MY COMMISSION # DD
EXPIRES; January 23 201175
Af l r Sonded ThrU No'fy pubjjc U envriters