HomeMy WebLinkAboutFILLED LAND AFFIDAVIT9M UCI]E COUNTY .
BUILDING & ZONINd, RECEIVED
2300 VIRGngjA AVENUE
FORT PIERCE; FL34982-5652 FEB 112019
772-462-1553
• ST. Lucle County, Permitting
F L F 11 ?'fi Il 1 'i� 'T' sCaNNFD
St. Lu�e County
I, the undersigned, am the owner of the following described property: ���'Q\
#1396-111_Onn1 nnn/n ti/7 as Zo ..TT
(TaxID/LegaidescriptiontAddress) northeasterly of I-95
for which I have applied Lucie County for a Final Development Permit. In accepting
this Final Development Pea rmimi t, 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 rovid 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,
h'1at}�hPw T-Vlc TTlrnT1P
Property -Owner Name Prope rty Owner Signature Date 1
STATE OFFLORIOA, COUNTY
ACKNOWLEDGEDBEFOREME.THIS 30*'- DAYOF T#uNa,L4t ?ll /9
By
_Matthey T Iv E, T YMs WHO IS PERSONALLY KNOWN TO MB OR WHO HAS PRODUCED
S IDENTIFICATION.
SIGNATURE OFNOTARY fZO7i'AY !4NN AJK i�
•TYR& PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE
CO
' •i�1.°��'c, OROTHYANN EASKIN
"p' P' MY COMMISSION k GG 030145
+�= EXPIRES: October 2. 2020
B Wjd TMu Notary Puck Undervmte"