HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 - --
(772) 462-1553 005tV50
SEP 1 8 (23 3
FILLED LAND AFFIDAVIT
ST. Lucie County, Permitting
I, the undersigned, am the owner of the following described property, 4e f, - *V
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- (3.78 ac) (OR 3529
(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 1161-OUP 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)
9/3/18
Property Owner Signature
Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFOREMETHIS �� DAY OF SC20A,
BY 1J i�IC 1I r,-WHO IS PERSONALLY KNOWN TOME X) OR WHO HAS
PRODUCED
SIGGNATURE OF NOTARY PUBLIC
!F 3.4 16 00�) COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
AS IDENTIFICATION.
TYPE OR PRINT NOTARY
(SEAL)
"> JOSHUA A MORSE
MY COMMISSION # FF246008
f.XPIRES July 01; 2019
D7 988-016b - FWWNo1e 5m1co.com