HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE SCANNED
FORT PIERCE, FL 34982-5652 BY r
(772) 462-1553 St. Lucie Countif
FILLED LAND AFFIDAVIT MAY 0 6 2019
LST- Lucie cn,..... _
I, the undersigned, am the owner of the following described property,
1327-801-0058-000-7 MONTE CARLO COUNTRY CLUB UNIT 1 LOT 169 9407 PINE BARK CT FT PIERCE FL 34951
(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.
THOMAS H LUGAR
Property Owner Name (Please i t)
pert owner
APRIL 29, 2019
Date
MARTIN
STATE OF FLORIDA, COUNTY OF
29th
APRIL
ACKNOWLEDGED BEFORE ME TIES
DAY OF 2019
BY THOMAS H LUGAR WHO
IS PERSONALLY KNOWN TO ME a OR WHO HAS
PRODUCED DRIVERS LIC.
AS IDENTIFICATION.
UXlftlA �
GWYNETH ELLYN WOOD
SlTUREJOF NOTARY PUBtl¢
TYPE OR PRINT NOTARY
Gwyneth Ellyn Wood
Notary PuGric, State of RodQa
?� Commission No. FF 986516
4t ,..•' My Comm. No. May S. 2020
SLCPDSD Revised 04/11/2011