HomeMy WebLinkAboutFILLED LAND AFFIDAVIT�\0 Jam.
•ST. LUCIE COUNTY
BUILDING & ZONING
230G VIRGligU AVENUE Off'
FORT PtRCA, FL 34982-5652
- . 772-462-1553
FILLET -DI" S AFFIDAVIT
I �
I, the undersigned; am the owner of the following described property:ylo \-A o \ 21 •�
#1 301 -1 11-0001-0nn-s; Fasf l of Rat+ti nn 1 wnsh; �S .Range
(Tax M/Lega! description/Address)lying N&W of Turnpike
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 far 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.
Property Owner Name
Property Owner Signature Date
STATE OF FLO RIDA, COUNTY OF' S t _ T. i i e
ACKNOWLEDGED BEFORE WE THIS on a DAY OF leg - , 20 q
B Yt,1t1jS S&�N � jwo�\4_ WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
SIGNATURE OF OTARY
NOTARY PUBLIC TrrLE
TYPE OR PRINT NAME OF NOTARY
"g'v DOROTHYANN BASKIN
�jC �' pl• "i I:
• MY COMMISSION # GG 030145
's,'• '�c EXPIRES: October 2, 2020
Bonded Thru Notary Public Undewters
(SEAL)
39E,
FeedE