HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division SCANNED
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 BY
(772) 462-1553 St. Lucie Countv
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described
541 NETTLES BLVD
(Parcel Id#/Legal description/Address)
ST.
RECEIVED
MAY 14 2919
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.
SANDRA ANDREAS
Property Owner Name (P se t)
2/5/2019
Property Owner Signand& Date
STATE OF FLORIDA, COUNTY OF ST LUC'IE
ACKNOWLEDGED BEFORE ME THIS 5 DAY OF FEB
2019
BY SANDRA ANDREAS WHO IS PERSONALLY KNOWN TO ME(El OR WHO HAS
COMMISSION NUMBER
TYPE OR PRINT NOTARY
(SEAL)
IDENTIFICATION.
"` tt NAN NG
SLCPDSD Revised 04/112ARMS
011 ?g; ' = CY �1M5
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3 Flw1 Febroar. y 10, 2019