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 SCANNED
I BY
St. Luden C080
I, the undersigned, am the owner of the following described property,
3419-540-0304-000-51RIVER PARK-UNIT5 BLK 52 LOT 13 (MAP 34/28S) (OR 1299-1964YI91 SWEI Sfto Court, Pon Saint Lucie, FL34983
(Parcel ld#/Legal descriptionlAddress)
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.
David M Patterson
Property Owner Name (Please Print)
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF Saint Lucie
ACKNOWLEDrED BEFORE METBIS tQK DAY OF 20 _9
BY David M Patterson —WHO IS PERSONALLY KNY" TO ME (Eb OR WHO HAS
Kristina Davis
TYPE OR PRINT NOTARY
COMMISSION NUMBER
IDENTIFICATION.
KRISfYAW E DAVIS
My COMMISSION# FF960833
EXPIRES March 08.2020
SLCPDSD Revimd 04/11/2011 007,395 '53 r1Wid0NV.1yS&n;ioe.ocni