HomeMy WebLinkAboutFILLED LAND AFFIDAVIT. PLANNING & DEVELOPMENT SERVICES DEPARTMENT
bi Building & Code Regulations Division
rat 2300 VIRGINIA AVENUE
® FORT PIERCE, FL 34982-5652
(772)462-1553
SCANNED RECEIVED
FILLED LAND AFFIDAVIT
03Y N''g 16 1-0i9
St. Lucie Count
ST. Lucie County, Pei
I, the undersigned, am the owner of the following described property,
2317-214-0004-000-4
(Parcel MO/Legal description/Address)
for which I have applied to St. Lucie County for a Fi al Development Permit. In
accepting this Final Development Permit, BP Number VAS S.Oy 10 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.
Hector Luna
Property er Na a (Pleas rint)
Piop`erty Ownei•_SJgltnture' Date
STATE OFFLORIDA, COUNTY OFA
ACKNOWLEDGED BEFORE ME THIS �_ DAY OF` 1 L' U' . 20
y
BY 7 I-CAY, `` -7 —WHO IS PERSONALLY KNOWN 'TO ME(0) OR WHO HAS
PRO UCE➢ GL 7L L- D I 3'a �'- -3 `J'�' AS IDENTIFICATION.
,-
O IGN OF NOTARY PUBLIC TYPE OR T NOTARY
COMMISSION NUMBER
(SEAL)
E7_17
UCY WHEATLEYpublic-State O'FlorldaSLCPDSD Res•istd 04/112011mission 0 GG 7941o4m. Expires Jun 29, 2022gh National NotaryAssn.