HomeMy WebLinkAboutFILLED LANDS AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
RECEIVED
FILLED LAND AFFIDOtNJNE
�� L�TLucie
CT 0 4 2018
St Lucie County County, Permitting
I, the undersigned, am the owner of the following described property,
3409-114-0004-000-2 / 09 36 40 S 1/2 of SE 1/4 of NE 1/4 of NE 1/4- Less S 165 Ft of E297 Ft- (3.78ac)(OR 3520-2768)
(Parcel Id#/Legal description/Address) Oleander Ave, Ft Pierce, FL 34982
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.
Nicholas Tubito
Property Owner Name (Please Print)
q�I
Date
STATE OF FLORIDA, COUNTY OF ✓"� ` ��
ACKNOWLEDGED BEFORE ME THIS 1 O DAY OF 20,
BY k C1G :7M&D WHO IS PERSONALLY KNOWN TO ME ( ) OR WHO HAS
PRODUCED
AS IDENTIFICATION.
-tA lchu(� Q
GNA
CSI11TUR OF NOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER _
-, J0SHUA A fII 0RL1'f-(SEAL)
•• •'' MY GONIMfSS10TI # FF246008
EXPIRES Joly 01, 2019
A01 3' p153 Froripa^+u:e 'eniu .con•
SLCPDSD Revised 04/I 1/2011