HomeMy WebLinkAboutFILLED LAND AFFIDAVITRil-c.&L *"-
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT
SCANNED
BY
St.. Lucie County
I, the undersigned, am the owner of the following described property, 551
I - 1. �1 V014�
z
(Parcel ld#/Legal
V D IV
, 6CL 5,4462-
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 CountyLand 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.
ge-Mr-ct -- - k , -r7,e&-b4.r
4 r
Prope Owne#&aine (Ple
x ge Pr�mt)
�A %_�
oyz_g�z* a /I Izolf
�r;�^fFa�W Date
STATE OF FLORIDA, COUNTY OF 8+. we , e.
ACKNOWLEDGED BEFORE ME THIS DAY OF F(!b(Ua(4
By —Te_-�k �_4�WHO IS PERSONALLY KNOWN TO ME ([A OR WHO HAS
PRODUCED
SIGfTP OF NOTARY PUBLIC
-COMMISSION NUMBER
SLCPDSD R"i�d 04/11/2011
Kaqln 2isKu-
TYPE ORTRINT NOTARY
(SEAL)
........... 1, KAYLAPISKOR
Explreo JonVarY 13.2023
IDENTIFICATION.