HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 RECEIVED
FILLED LAND AFFIDAVIT I S E P 14 2018
ST. Lucie Cou
I, the undersigned, am the owner of the following described property, S By
,uvie County
2421-234-0005-000-3 -NOT PLATTED. PART A OF BREAKDOWN OF SECTION 21, TOWNSHIP 35 SOUTH, RANGE 40 EAST,
(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.
Marie Myrtil
Property Owner Name (Please Print)
z
rty Owner Ignature Date
I
STATE OF FLORIDA, COUNTY OF Saint Lucie
ACKNOWLEDGED BEFORE ME THIS "2 DAY OF
,.n 2018
Marie M rtil
� BY y WHO IS PERS ALLY KNOWN TO ME ❑✓(� OR WHO HAS
PRODUC56
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AS IDENTIFICATION.
�'. k"d Kristina Davis
SIGNA URE F NOTARY PUBLIC
FF96 833 COMMISSION NUMBER
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i
SLCPDSD Revised 04111/2011
TYPE OR PRINT NOTARY
s��`•;' SISTINA E DAVIS
MY COMMISSION # FF960833
EXPIRES March 08.2020
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