HomeMy WebLinkAboutFILLED LAND AFFIDAVITl
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 .
FILLED LAND AFFIDAVIT RECEIVE
C9r
SEP 2 4 20118
ST. L cie County, -Permitting
I, the undersigned, am the owner of the following described G*
3424-800-01 %-000-9 / 7824 McClintock -Way
(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.
Property Otvher Name (Please Print)
Property 6vmer Signature Date
STATE OF FLORIDA' COUNTY OF�h4k l� Q
ACKNOWLEDGED BEFORE ME THIS DAY OF Se o�-��_VIX6kJ__ 20 1 '
BY. a-f c' U \ Me rr ��—p�I c0 WHO IS PERSONALLY —KNOWN TO ME k—) OR WHO HAS
PRODUCED AS IDENTIFICATION.
�'yl6t�dCi�t a� maYol4 red— SC krl'P �'e
SIGNATi E OF NOTARY PUBLIC TYPE OR PRINT NOTARY
3.[3Z) L_2v2_jCOMMISSION NUMBER
(SEAL)
SLCPDSD Revised 04/11/2011 1
*d�,T
ow""MARGARET SCHAEFER
MY COMMISSION # GG88886
EXP IRES:-March 30,"2021