HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652 RECEIV I
(772)462-1553
SCANNED NOV 0 6 W9
BY FILLED LAND AFFIDAVIT
ST. Luce County, Permitting
St. Lucie COuntV
I, the undersigned, am the owner of the following described property,
`i5aa.. 501- d 6'a,% -C4 - O
(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 1N\o -O %d-1 , 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.
:0,'erper ame (Plea a Print)
ety Owner Signature Dat � I
STATE OF FLORIDA, COUNTY OF 6'� 4'G L c
ACKNOWLEDGED BEFORE ME TIES 6-th DAY OF / W u e /h 1:�rer 20 ` Q
By %�anir I,1 c� lyv3Lre,� WHO IS PERSONALLY KNOWN TO ME ❑( 1 OR WHO HAS
AS IDENTIFICATION.
{ ✓ OT
SIGNATURE OF NOTP
flRIREq
G V Q l7 7 7••COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
JOA u . d 1 _ Au c�— e 0SOA J
TYPE OR PRINT NOTARY
(SEAL)
DAVID T ANDERSON
MY COMMISSION M GG014775
'•;?+or , ,,• EXPIRES July 24, 2020
PLANNING & 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,
y15Da.-poi -(!c0a1 - n jLA is
(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 jqUa- C) I$ 3 , 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
commilnit
01n
Property Qy er Name ( int)
Jam`/N C Z
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF 51-
ACKNOWLED
GED BEFORE ME THIS 17rk DAY OF /vOorr. lyuC..
�2_ /4
(Z BY O KJ Q.1 � Ld A P— (- WHO IS PERSONALLY KNOWN TOME OR WHO HAS
SIGNATURE OFF NOTARY PUBLIC
/ COMMISSION NUMBER
SLCPDSD Revised 04/ 12011
NOV 2 7 2019
IDENTIFICATION.
AJcA, el -SOX)
TYPE OR PRINT NOTARY
Permitting Department
St. Lucie County, FL
(SEAL)
;�• 'fin,
DAVIDTANDERSON
y MY COMMISSION # GG014775
'�'�'a�,�„• EXPIRES July 24, 2020