HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
SCANNED
St. Luc y
County
I, the undersigned, am the owner of the following described property,
3¢02-60¢-0 92-4LO-0
ZorS (a �7, ,910CK 15, /NU14N R1116e E�TES (IN
lT3� lQ2_ E. �S)'ST. FAPT �ERGE, .
(Parcel Id#/Legal description/Address)
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.
Joynl AND19?Son!
Pro�tyOwner � �'fjPl� g
(l/�c (J��� 2-119-20
Propt Owner Signature Date
STATE OF FLORMA, COUNTY OF,- �iC k C-
-11'-%
�Q 20 �G
ACKNOWLEDGED BEFORE1 E TTBIS-1�1
DAY OF �� ,
BY 3�'111nA11 1: L `
WHO IS PERSONALLY KNO OR WHO HAS
r 1 '
PRODUCED 'Y_ 1��n`-1'__
AS IDENTIFICATION.
1
TYPE OR PRBVT OTARY
SIGNATUR • NOTARYPUB
COMMISSIO]iN BIDER`-
�IR Kelly Molloy
o� OTARY PUBLIC
c STATE OF FLORIDA
= ComrM1 GG238684
iN a 1g5e Expires 9/18/2022
SLCPDSD Revised 04/112011