HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
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FILLED LAND AFFIDAVIT -St`UCj�C
�UhtY
I, the undersigned, am the owner of the following described property,
3425-704-0012-000-2 3600 Red Tailed Hawk Drive, Lot 7023 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,
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)
Property Owner Signa6i e
STATE OF FLORIDA, COUNTY OF Hillsborough
ACKNOWLEDGED BEFORE ME THIS 1 St
BY William Bushkie
PRODUCED
(�NGNArUR' EE OF NOTARY TUBLY
QI� V"�MMISSIONNUMBER
SLCPDSD Revised 04/11/2011
11/1/18
Date
DAY OF November 2018
WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
AS IDENTIFICATION.
TYPE OR PRINT NOTARY'
o.• LAURIE KINDLE
(SE _ c„_ W COMMISSION # GG 172276
EXPIRES: February24,2022
Bonded Thru Notary Public Underwriters
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