HomeMy WebLinkAboutFILED LAND AFFIDAVITSPLANNING & ]DEVELOPMENT SERVICES ]DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
2300 VRtGDUA AVENUE
FORT FIERCE, FL 34952-5652
Mz) 462-1553
FILLED LANDS AFFIDAVIT SCey
3t eucie count,
I, the undersigned, am the owner of the following described property,filtm-�_ 6-e/p CC, CAN IT
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(Parcel IdK,egA descriptionlAddren) 6j" t eow�
for which I have applied to St, Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number _, I aclmowledge
that as owner of the above described property, and in accordance with Section
7.04,010)), 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 aclmowledge that in granting this permit fox the development of this property,
St. Lucie County is neither obliged nor liable to provide for, or maintain in any forest,
adequate drainage off -my property which will not adversely affect the immediate
community_
MeoJCIlVIng Irus+dG'/995
Property Owner Name (Pleas Print)
L U-e-o 77,�
Property Owner Signatine Date
STATE OFFLORWA. COUNTYOP
ACKNOWLWQE1O''B^EFO�RE W TH1S I T DAYOF �J O� .20_a�
BYOA•o MnI �1 r-rUSTQ-e— µrgOISPER50NALLYIOVOWNTOME^oRwHOHm
PRODUCED
N. a. r• m"A (SPA )
MY COMMISSION NDD gQi4
EXPIRES: September24,2012 iJ
30nded Thm Notary PuNC WiOe�wNare
SLCPDSD RevieeamN120I0
AS IDENTIFICATION.
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ST. LUCIE COUNTY
BUILDING B.ZONING
• � '<
2300 VIRGINIA AVENUE
FORT PIERCE, FL 3498MG52
F�O(i1Dp-•
S614IMn553
FILLED LANDS AFFIDAVIT
St �u�BY��o
e �oun�
I, the undersigned, am the owner of the following described property:
'60l. 007q-. onoS• Lo+-(1; • ?N57 Cuh((e,,�ul�F
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.
4-emCe-2cl her n 12107
Property Owner Name Propert wni' " rDate
STATE OF FLORIDA, COUNTY OF
BY
OF NOTARY
THIS 1 2)"� DAY OF
R
IDENTIFICATION.
20\\�
G 0R WHO HAS PRODUCED
TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE COMMISSION NUMBER (SEAL)
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SUSAN L. GOTTUSO
co4YP 4s Gomm#DD0673961
Expires 5/14/2011
FWda NataryAsm., Inc
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