HomeMy WebLinkAboutFILLED LAND AFFIDAVITSC i7LRTC I
�Ol"�NTY
F L O I D A
M
ST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
772-462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following
ID/Legal description/Address)
SC ,%so
StLucie County
Ap)
for which I have applied to St. Lucie County for a Final Development Permit. In accepting
this Final Development Permit, BP Number kb 2 nD0* , 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 \ (�, U i"
ACKNOWLEDGED BEFORE ME THIS �10P DAY OF 200
BY fd1L6 sh_T A Ow.�✓K WHO IS PE sIi ONAI.LY K OWN TOME OR WHO HAS PRODUCED
AS IDENTIFICATION.
IVtAa, P�71
SIGNATURE F TARY TYPE OR PRINT NAME OF NOTARY
(SEAL)
NOTARY PUBLIC TITLE COMMISSION NUMBER
MINA ' ! "E.TT
'•• MY COMM, �'^N a, .:.'•:`.9'.YJ83
c
��. EX"` Gul
:iffy; NINA JEWETT
MY COMMISSION # DD996983
•,•,y,1q � EXPIRES June 01, 2014
407)398-0153 Flandallobryftr&r .e
M M
Tax ID #: 1425-702-0938-000-6
Legal Description: The east '/4 of lot 3 and all of lots 4 and 5, block 46, san Lucie
plaza unit one, according to the plat book thereof, as recorded in
plat book 5, at page 57, of the public records of Saint Lucie
County, FL