HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGIN AAVENM
FORT PIERCE . 34
982-5652
(772) 462-1553 RECEIVED
FILLED LAND AFFIDAVIT AUG 1 4 2019
ST. Lucie County, Permitting
I, the undersigned, am the owner of the following described property, sCANNED
16,411-3 lPo.nol rd4/ -1 At �AU-NQ)Hlntll
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.
Adams�6=shF Nur•Nk1, it FL 3aSO
Property 10 (Please Print)
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Property Of� e D e
STATE OF FLORIDA, COUNTY O IAA 14lCl e
ACKNOWLEDGED ME THIS �� DAY OF 20�
BY ICI (1a1M IJf�' QA AddnXS WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
PRODUCED
/1 SIUNATURE^OF NOTARY PUBLIC
l'� itDO COMMISSION NUMBER
SLCPDSD Revised 04/112011
AS IDENTIFICATION.
PATRICIA ANN GRIFFIN
cF :
- ; MY COIWHION # GG137624
'$00 ov- EXPIRES September 26. 2021
J r 4.
PLANNING &DEVELOPMENT SERVICES D AR
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT SCANNED
By
ITM Logcamuf4t/
1, the undersigned, am the owner of the following described property,
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Numbers 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 WELL 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.
_�IiliIliQe/1 /4jjoMg
Property Owner Name ( ease Print)
4
Property Owner Signature - Date
STATE OF FLORIDA, COUNTY OFF jA GG1CI E°
BYKNOWLEDGEDB ME THIS �tt DAY OF D5'
WHO IS PERSONAba KNOWN TOME LOR WHO HAS
SLCPDSD RwimcI04/112011
NCRT,,A
(SEAL)
PATRICIA ANN GRIFFIN
MY COMMISSION N GG137624
'.>: EXPIRES September 2a, 2021