HomeMy WebLinkAboutFILLED LANDS AFFIDAVITSCANNED.
ST. LUCIE COUNTY By
BUILDING & ZONING �$. ���I�®1��1�y
230o VnRGINIA AVENUE
FORT PIERCE; FL 349825652
567.462-7553
� FILLED LANDS AFFIDAVIT
I, t e undersigned, am the owner of the following described. property:
(Tax ID/Legal descriptionlAddress)
for I Which 1 have applied to St. Lucie County fora Final Development Permit. In accepting.
h thisFinal Development Permit, BP Number , 1 acknowledge that.as
owner of the above described property, and in. accordance with Section 7.04.01(D), St.
1_4e County Land Development Code, l .shall be responsible for assuring adequate
dra!nage 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
dra page off my property which will not adversely affect the immediate community.
C�•e - tee .S ��� `^1 or Q. f ' '
P erty Owner Name Property Owner Signature Date Ir
STAR t OF FLORIDA, COUNTY OF��
AC NOWLEDGED BEFORE ME THIS '7 DAY OF, 20 D,�
BY WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
Sayr LL )e—k y AS,IDENTIFICATION: atherine.Guillarmod
Commission # DD359535
Expires; NOV. 14, 2008
�,*.nF �,:• one u
81 NATURE OF NO Y TYPE OR PRINT NAME Y`JP'IItbTA_t&dc Bonding Co., Inc.
(SEAL)
NOTARY PUBLIC TITLE COMMISSION NUMBER