HomeMy WebLinkAboutFILLED LAND AFFIDAVITO;w" ate' d
GGANNED
O • i
M. Luds MOW
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,
a 7X S
(Parcel Id#/Legal description/Address)
PI-91-ea710�
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 WALL 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.
?tqWl s. U" It/
37zza-
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF Sk . L\i c \'%
ACKNOWLEDGED•BEFORE METHIS ' DAY OF Z V tR-k 20 13
BY \ pkt, P u I a WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
PRODUCED F LD L Q �03 6 6�1 5 S— 6 5 d AS IDENTIFICATION.
`SIGNATURE OF NOTARY PUBLIC
G PN Sql 6 �OMI GS SION NUMBER
SLCPDSD Revised 08/24/2010
� e,d,v.v,a Cr v it nS
TYPE OR PRINT NOTARY
DEANNA GIVENS
�AT—Ift8yPLJ6 t�9tary Public -State of Florida
My Comm. Expires Dec 16,2016
a. Commission # EE 858761
Bonded Through National Notary Assn.
JOSEPH E. SMITH, CLERI6 r THE CIRCUIT COURT — SAINT LUCIE COUNf'
FILE # 3835776 OR 130C'�_ i19 PAGE 2017, Recorded 05/18/2013 a. 1:55 AM
Doc Tax: $0.70
Prepared by and return to:
Kacy P, DelBene
Steger & Steger, P.A.
603 SW Cleveland Avenue,
Stuart, FL 34994
772-287-
File Nu er. I
Will
C IN .27
/,
This Qua Claim Dee ode this �day of aetween M y, 2013, A �sinele woan,� F. PURDIN,mwhase post
office address is M S. Ocean Dr,, #1 ensen Beach, FL 34957, grantor, and PAUL S. PURDIN and JAN L.
PURDIN, husband and wife, whose past office address is 176 Dove Circle, Royal Palm Beach, FL 33411, grantee:
(Whenever used herein the temis `grantor" and "grentee" include all the partles to this instrument and the heirs, legal representatives, and assigns of
individuals, and the successors and assigns of corporations, trusts and trustees)
r
Witnesseth, that said grantor, for and in consideration of the sum TEN AND NO/100 DOLLARS ($10.00) and other good
and valuable consideration to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged, does
hereby remise, release, and quitclaim to the said grantee, and grantee's heirs and assigns forever, all the right, title, interest,
claim and demand which grantor has in and to the following described land, situate, lying and being in Saint Lucie County,
Florida to -wit:
Lot 10, B OLIDAY O IE, a Co m, ac
Con minlum reco ed in- Book 168, page 34 end all exhi its and
-00pubcc s o Luc CouFlo
Qbe 451.501-027 /3
D'
to taxes for 2113 nd subseq
ons and Ilmitall ns A record, if
THIS instrurnelit teas prepared without benefit of title examination.
To Have and to Hold, the same together with all and singular the appurtenances thereto belonging or in anywise
appertaining, and all the estate, right, title, interest, lien, equity and claim whatsoever of grantors, either in law or equity, for
The use, benefit and profit of the said grantee forever,
In Witness Whereof, grantor has hereunto set grantor's hand and seal the day and year first above written
Time*
OR BOOK 3519 PAGE 2r
WS�ed a�cnd ��- 71l�ivAey,r,`eyd�1tC�' 7 ou/^r p!resence: ✓MA�oRy✓Y, F. P i IN
._JlCJZ i (Seal)
it..Name:
rWitnessN
STA O FLO ID D
"COU TY OF ��jj
The reg ing instrument was a no edged before t is q 2013, by MAR F. URDIN, who is
ers0 11 own to me or ro ced as identification.
Illllfll{fU
[Notary Sea!] �.��Ys;� ...... e�,'IF'$ ✓ C/
Not lie "n
9/Printed Name:
IDDs1=7� ;'c
a Ao^ My Commission Expires:
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Quit aim
Double
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