HomeMy WebLinkAboutFILLED LAND AFFIDAVIT—PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 RECEIVED
(772) 462-1553
JAN 10 2019
FILLED LAND AFFIDAVIT
ST. Lucie County, Permitting
SCANNED
BY
I, the undersigned, am the owner of the following described property, St. Lucie County
4504-603-0014-000-1/Miller's S/D all that part of N 145.78ft of S 180.78ft of Lot 3 Lyg E of LI 49Dft W of and //to
(Parcel Id#/Legal description/Address) W W of S Ind Riv Dr -Less RDR/W- (OR 3761-780)
1238 7 S Indian River Dr, Jensen Beach, FL 3495
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.
Christopher R Brown
Property Owner Name (Please
17,
weer afore hate
STATE OF FLORIDA, COUNTY OF 15�_
/Lu
ACKNOWLEDGED B1E.FOORE ME THIS l_O
DAY OF �LJL C_ , 20
B f IC' V"
WHO IS PERSONALLY KNOWN TO ME ((El OR WHO HAS
!
PROD CED /r
AS IDENTIFICATION.
SIGNA E OF NOTARY PUBLIC
TYPE OR PRINT NOTARY ^� IN
COMMISSION NUMBER
(SEAL)
y0wY°os, SHUNTAVIOUSMCNEIL
* � ♦ Notary Mft State of Florida
MY eomm. expires Oct 21, 2019
SLCPDSD Revised 04/112011p�
oFtw Comm NafF92950