HomeMy WebLinkAboutFILLED LANDS AFFIDAVITST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
561-462-1553
R.'
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property:
- - 31(4-- 50.1 =((b7 -ov0 -a
(Tax 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.
W A(,Tr� F . 5!3rrA
Property Owner Name
s
PropertyOwner Signature Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORE'ME THIS DAY OF j/j��. 20,
BY W a ` `- r- Sa4`f " WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
L U ' `-t'I AS IDENTIFICATION. i
��� ;,, Beatriz Serrano
b" Commission #DD228304
. Expires: Jul O1, 2007.
SIGNATAOFNOTARY TYPE OR PRINT NAME IOymins CO- Inc. �
(SEAL)
NOTARY PUBLIC TITLE COMMISSION NUMBER