HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553 Sin
FILLED LAND AFFIDAVIT sqUCj@ G'oU
ntY
I, the undersigned, am the owner of the following described property,
3425-704-0012-000-2 7824 McClintock Way, Lot 7507 Port St. Lucie, FL 34952
(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,
j 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.
William Bushkie
Property Owner Name (_Please Print) .
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Property Owner Signatiffe
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STATE OF FLORIDA, COUNTY OF Hillsborough
I L'}
ACKNOWLEDGED BEFORE ME THIS
BY William Bushkie
iPRODUCED
IGI ATURE OF NOTAR P IC
C[-1; COMMISSION NUMBER
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SLCPDSD Revised 04/11/2011
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11/1/18
Date
DAY OF November 2018
WHO IS PERSONALLY KNOWN TO ME 0 OR WHO HAS
AS IDENTIFICATION.
1._.ws-�IQ. K i r i� l
TYPE OR PRINT NOTARY
LAURIE KINDLE
11YC0MMISSION#GG172276
EXPIRES: February 24, 2022
FqF °P Bonded Thru Notary Public Undervi iters