HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGMA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 SCANNED
BY
FILLED LAND AFFIDAVIT St. Lude MOW
I, the undersigned, am the owner of the following described property,
t(eso A n e Mari n Ln . �--vA �)itrt:e-
(Parcel 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 , 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.
,Pro , ert wMd . ` -Mase Print)
STATE OF FLORIDA, COUNTY OF +- , L o C �,
ACKNOWLEDGED ME THIS 14{ DAY OF /`1 U q 201
C Y BY \C %c V �}1�0. (\ j V WHO IS PERSONALLY KNOWN TO ME (a OR WHO HAS
PRODUCED �rj�1� 1 AS IDENTIFICATION.
--��7(� �l�l� � • l V\owLo�St 1�� �OW i n S
SIGNATURE OF NOTARY PUBLIC t TYPE OR PRINT NOTARY
COMMISSION NUMBER
(SEAL)
Wz-op
Ov kirk Notary Public State of Florida
A Thomasina i3owins
SLCPDSD Revised 04/11/2011 r My Commission GG 201733
Expi►es 03/29/2022
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