HomeMy WebLinkAboutFILLED LAND AFFIDAVITST. LUCIE COUNT RECEIVED
BUILDING & ZONING
2300 VIRGINIA AVENUE NOV 2 7 A18
® FORT PIERCE, FL 34982-565
772-462-1553 ST. Lucie County, Permitting
SCAN
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FILLED LANDS AFFIDAVIT StLuce�ounty
I, the undersigned, am the owner of the following described property: pQ�
3427-111-0002-000/5
(Tax 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.
Property Owner Name
Property Owner Signature Date
STATE OF FLORIDA. COUNTY OF _' k�"" G LE C
ACKNOWLEDGED BEFORE ME THISq DAY OF N006'M4AF , 201 ,
BY IV/I'ryw" LYLY O'lAw WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTEFICATION.
1Dn geTM Y /'+.yry f1 SCiN
SIGNATURE OF N TARY TYPE OR PRINT NAME OF NOTARY
(SEAL)
NOTARY PUBLIC TTTLE CO
y1:?,fawa DOROHYANNBASKIN
t MY COMMISSION # GG 030145
?•i :€ EXPIgg&Oclober2,2020
BonOeo ThN NotaN PUNie UrderoM*e