HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553 SCANNED
BY
FILLED LAND AFFIDAVIT St. Lucie County
I, the undersigned, am the owner of the following described property,
2317-700-0001-000-5 // S3 RANCH (PB 74-8) LOT 1 (5.07AC - 220,849 SF)
(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 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.
JOSkLAA li' 9URG-iUS9iV
Property Owner ,Namee( (Please Print)
a, .. OW—• d?1Lc-�t(�!V CAI I?d Z019
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF S i -WC4 c COan,+y
ACKNOWLEDGED BEFORE ME THIS tYj� DAYOF SEOM"353L �y20
/19
BY 05l tt o- 'TC Sa`PeV15 w1 WHO IS PERSONALLY KNOWN TOME (IQI OR WHO HAS
PRODUCED
`r.
/ SIGN/JA///TURE OF TAR�UBLIC
9p0Y COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
IDENTIFICATION.
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TYPE OR PRINT NOTARY