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
RECEIVED
APR 15 2019
ST. Lucie County, Permitting
I, the undersigned, am the owner of the following described property,
3328-701-0012-000-5 8359 CALUMET CT
(Parcel Id#/Legal description/Address)
SCANNED
BY
St. Lucie County
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.
GIUSEPPE GAMBINA
Property Owner Name (Please Print)
�lifrQ
Property Ot r Signature Date
STATE OF FLORIDA, COUNTY OF ST. LUCIE
BY
THIS DAY OF _NINCA12^,. , 20 t
OF NOTARY PUBLIC
GG249625 COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
IS PERSONALLY KNOWN TO ME (—) OR WHO HAS
AS IDENTIFICATION.
ANGELA BORSODI-BIRMINGHAM
TYPE OR PRINT NOTARY
ANGELA B0BS0EM=GNAM
2?°/•�h Notary Public - State of Florida
1"ot Commission F GG 249625
My Comm. Expires Aug.16, 2022.
Bonded through National Notary Assn. �'