HomeMy WebLinkAboutFILLED LAND AFFIDAVITDocuSlgn Envelope ID: EBOBCD29-FC60430-84�, :1FD7DD6E36C
PLANNING& DEVELOPMENT SERVICES DEPARTMENT
Building & Code Re lations Division
2300 VIRGINIA AVENUE
FORT PIERCE FL 34982-3652
(772)462-1553
FILLED LAND AFFIDAVIT
T
"ECE
OCT 3 2019
Permitting De , partmerlF
-St. Lude County,'FL
1, the undersigned, am the owner of the following described property, SGARM
4422-502-0006-000-1
(Parcel Ift/Legal
for which 1, have applied to St. Lucie County fbr 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. z
Christopher Taraba
Pro.,peT0,%n
emu anwi .er Name (Please Print)
8/8/19
-PrdP"E0j9hW_Signarure Date
STATE OF FLORIDA. COUNTY OF Palm Beach
ACKNOWLEDGED BEFORE ME THIS 8th DAY OF August 2OL9
:BY Christopher Taraba NYHO IS PERSONALLY KNOWN TO ME (Z OR WHO HAS
IDENTIFICATION.
Deanne L. Johnson
TYPE OR PRINT NOTARY
cbmAsSIONNUMBER.
(SEAL)
I)EANNE L. JOHNSON
MYCOMMIONNOWIMS
SXpilin: july 17,2021
SLCPDSD R=md 04111/2011 Ego