HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
SCANNED
BY
I, the undersigned, am the owner of the following described property, St Lucie County
3406-600-0005-000/2 - 4750 Magnum Drive, Fort Pierce, FL
(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.
Emil J. Solimine
Prope caner Name se Print)
Property Owner Signature Date
STATE OF P Fd UNTY OF S N�
ACKNOWLEDGEDBEFOREME THIS _ DAY OF 20 /p
IL
BY &-y- lxxi WHO IS PERSONALLY KNOWN TOMEOR WHO HAS
TURE OF NOT
MARLENA LAWRENCE
i' NOTARY PUBLIC OF NEW JERSEY
I.D. # 2399811
My Commission Expires 8130/2020
SLCPDSD Revised 04/.11'/2011
l
OR PRINT NOTARY
(SEAL)
AS IDENTIFICATION.
DEC 15 20