HomeMy WebLinkAboutFILLED LAND AFFIDAVIT` I F
ST:•LUOU COUNTY
BUILDING & ZO W9G
2300 VIR-0 A AVENUE
FORT PWRCE; FL 34.982-5652
772-462-1553
RECENED
NOV,0 1 WIR
Permitting Depart'1101'
St. Lucie C(Wt't'.
FILL� .� �' �`�� `'iSA►� �rI`T`
SCANNED
By
St Lucie Count
I; the undersigned, am the owner of the following described property:
#134�11 1 _(1(1(.19 _rtnn /n _' � i•, ., . _ _ _ _ _
(Tax
northeasterly of I-95
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 as adequate drainage so that the
immediate community WML NOT- be adversely affected. I further acknowledge that in
granting this permit for the development of this property, S It. 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.
,-A
ProperVOwner Name Property Owner Signature Date
STATE OF FLORIDA. COUNTY OF S t__ L uc i
ACKNOWLEDGED BEFORE ME THIS _2_c� DAY OF 20 L$
BY Matthew r1 , � P ,n,P wHo IS PERSONALLY KNOwN TO ME OR WHO HAS PRODUCED
_ 0 AS IDENTIFICATION.
SIGNATURE OF N ARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE
COMMISSION NUMBER (SEAL)
. 1,r�Y?y'• DOROTHYANN BASKIN
MY COMMISSION # GCS 030145
EXPIRES: October 2, 2020
�F P� 80pd0 Thru NotaryPub4C UnderM1eM