HomeMy WebLinkAboutFILLED LAND AFFIDAVIT—�- PLANNING & DEVELOPMENT-SERVICESDEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
SCANNED
FILLED LAND AFFIDAVIT BY
St. Lucie County
I, the undersigned, am the owner of the following described property,
2311-601-0054-000-9/Jay Gardens- Ft Pierce Elk 4 Lots 5,6,7,14,15,16 and S 25 ft of Vac Rd R/W N of Adi Lots 5,6,7 (Map 23111 N)
(Parcel Id#/Legal description/Address) (1.33 ac) (OR 2076-1931)/8690 Jay Gardens Ln, Ft. Pierce FL 34945
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
rn -
c
� E
al- �/VI l ICVYIS
ro i Property Owner Name (Please Print)
N �
z 8 �/ ► -t
-0 XPP0rsi—m tnr Date
fn
f—
STATE OF FLORIDA, COUNTY OF a U
ACKNOWLEDGED BEFORE 1
ME THIS DAY OF �/'^'r rUQ ,20�.J
gy �Q`k���I U C1 I •S WHO IS PERSONALLY KNOWN TO ME dZ OR WHO HAS
PRODUCED
SIGNATURE OF NOTARY PUBLIC
COMMISSION NUMBER
Zrae
TYPE OR PRINT NOTARY
�.,. (SEAL)
; lNe..4';' DAWNFfRGERALD
MY COMMISSION# GG 162348
EXPIRES: December17,2321
13011 Tlw Na PubGc Uidetwkers
SLCPDSD Revised 04/11/2011 W,
IDENTIFICATION.