HomeMy WebLinkAboutFILLED LAND AFFIDAVIT- - -PLANNING & DEVELOPMENT .SERVICES DEPARTMENCF��Fa
Building & Code Regulations Division BAN I, 10
2300 VIRGINIA AVENUE 6
FORT PIERCE, FL 34982-5652 Per l9
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(772) 462-1553 St' t
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FILLED LAND AFFIDAVIT
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I, the undersigned, am the owner of the following described property, nfy
2310-500-0002-000/7 Lot 53 Phase IIA Morningside Phase IIA
(Parcel ld#/Legal descriptionlAddress)
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.
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Propek Owner Name (Please Print) / v S /
Propert�Owner Signature Date
STATE OF FLORIDA, COUNTY OF St'
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ACKNOWLEDGED BEFORE ME THIS ZZO DAY OF Z?61D b 20 �U ,
BY /L/SA y�_I OL WHO IS PERSONALLY KNOWN TO ME (a OR WHO HAS
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SLCPDSD Revised 04/11/2011
NUMBER
TYPE OR PRINT NOTARY
RHONDASROWE
Commisslon#GG104656
a, Expires May 19, 2021
��Op F�o'e8 Bwdednm BUANNOWY SerVM3
(SEAL)
AS IDENTIFICATION.