HomeMy WebLinkAboutFILLED LAND AFFIDAVITST. LUCIE COU 'DY
BUILDING & ZO- IN&ECEIVED
2300 VIRGINIA AVE E
FORT PIERCE, FL349 2-5652APR 2 3 Jet)
772-462-1553
ST. Lucie Count_,,. P.- r+
NN
FILLED LANDS AFFIDAVIT SCARY ��
St. Lucie County
ys Caw�•r,o
I, the undersigned, am the owner of the following described property:
3427-111-0002-000/5
(Tax 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.
Property Owner Name
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF J % • "<< 6
ACKNOWLEDGED BEFORE ME THIS /-2 DAYOF ,L}PRIL 200
BY rn-7J'FiC--t-d Z YZ O JA)`VNCWHO IS PERSONALLY KNOW TO ME OR WHO HAS PRODUCED
SIGNATURE OF NGQARY
NOTARY PUBLIC TITLE
IDENTIFICATION.
'3)D2y-Ny 4NN &ASKIN
TYPE OR PRINT NAME OF NOTARY
COMMI I N
OOROTHY ANN BASKIN
fAYCOKANiISSI0144GG030145
EXPIRES. October 2, 2020
-'•: �;?.> Ronded Thor Notary Public Underwriters
(SEAL)