HomeMy WebLinkAboutFILLED LAND AFFIDAVIT)r
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PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772)462-1553
SCANNED
FILLED LAND AFFIDAVIT BY
St. Lucie County
I, the undersigned, am the owner of the following described property,
131250200570006, PORTOFINO SHORE PHASE TWO LOT 66,5610 PLACE LAKE DR
(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 fiuther 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.
BENJAMIN PETERSON
Property Owner >u=4124epse Print)
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131756wner Signature Date
STATE OF FLORIDA, COUNTY OF ST LUCIE
ACK/NOOW-LEDG.ED BEFORE MES T�DAY OF 0�,
BY f'J o /1 WHO IS PERSONALLY KNOWN TO 114E OR WHO HAS
PRODUCED J AS IDENTIFICATION.
SIGNATURE OF NOTARY"LIl
T R t(2 SS CON4v1ISSION
(SEAL)
ANNMARIE CONIGLj
4PnV P�jb �.
•z�, `�; Notary Public - Stale of Commission # GG 49SLCPDSD Revised 04/11/2011 =;%,' My Comm. Expires Nov 2Bonded Nroupb National Not