HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE -
FORT PIERCE- FL 34982-5652
(772)462-1553 .
FILLED LAND AFFIDAVIT SCANNEb
BY
st.LuCieCoanhv
I, the undersigned, am the owner of the following described property,
3117Yellowstone CIR Fort Pierce. FL34945
(Parcel IdH/Legal description/Address)
for which I have applied to St. Lucie. County for a Final Development Permit. .III
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 thedevelopmentof 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.
Cti/i iqh Qr6
Property Owner sine (Please Print)
- operty O e ignature - Date'
STATE OF FLORIDA, COUNTY OF STLUCIE
ACKNOWLEDGED BEFORE ME THIS
I -- DAY OF V I/t l �...� : 20 19 ;
By C h eNia n WQ jam(`: wH0 IS PERSONALLY KNOWN TOME Q OR WHO HAS
IDENTIFICATION..
SlhzWFr v ANGELA BORSODI-BIRMINGHAM'
SIGNAT FNOTARY PUBLIC U TYPE OR PRINT. NOTARY
940695 COMMISSION NUMBER "-
(SEAL)
^., ANGELA 00RSODI-BIRMINGHAM
Notary. Public - State of Florida
CommSLCPDSD Revised 04n 12011. '•'�o n`� MyComm15sion ExpireGAug 46622022
zio,ceC thracgh Nation: NptarV As3n.