HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
RECEIVED
FILLED LAND AFFIDAVIT
JUN 2 6 20'9
ST. Lucia County, Permittina
I, the undersigned, am the owner of the following described property, SCANNED
3414 - 501 103 - 3S0 - -L BY
/D.... -I TA4M --I ._ �T1 In1n r"nuM
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.
CANcr (.o CoM.
l�Prope Owner Name (Please Prinntt)� -
cz _ (o -ZC7- ( C(
Pr per Owner Signature Date
STATE OF FLORIDA, COUNTY OF C.11✓
ACKU,LEDGED BEFORE ME THIISS-��J-�Jb� DAYOF 1�1 ,20�,
B- ILfJ tN NC'i-r IO "�`T'' ` WHC SPERSONALLYKNO TO MEn i1OR WHO HAS
O J
SIGNAT E(LO��F�N7O ARY PUBLIC
a Y ~ COMMISSION NUMBER
SLCPDSD Revised 04/112011
AS IDENTIFICATION.
TYPE OR PRINT NOTARY
;'iSY°J'+.. (SEA�IME ORTIZ
:° • NotaryPu is -State of Florida
%• e? Commission # GG 228444
0.d:f My Comm. Expires Jun 13, 2022
Bonded through National Notary Assn.
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE RECEIVED
FORT PIERCE, FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
SEP 2 7 019
ST, Lucie County, Permitting
SCANNED
I, the undersigned, am the owner of the following described property, BY
Lucie County
3414-501-6303-350-2 / 2613 SE Brevard Ave St.
(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 1906-0580 , 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.
Giancarlo Conte
Property Owner Name (Please Prin°�"'-;
'?°•
Notary .IAIME ORTIZ
Nota Public - State of Florida
'�• `.
`�
Commission # GG 228444
'or F`°
lBonded
My Comm, Expires !un 13, 2022
through National Notary Assn.
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF
*` �- �,
ACKN9WLEDGED BEFORE ME THUS DAY OF �Q � � , 20
C/J/ A l �ot+�}Z BY 1 n r—d-� r c WHO IS PERSONALLY KNOWN TOME OR WHO HAS
PRODUCED n AS IDENTIFICATION.
Z�la '>ri� C)A'f -
TLTRE OF NOTARY "LIC TYPE OR PRINT NOTARY
�N COMMISSION NUMBER
(SEAL)
SLCPDSD Revised 04/I 12011