HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, Fl, 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT SCANNED
BY
St. Lucie COur1•
I, the undersigned, am the owner of the following described property,
3529-701-0001-000-2 HEERMAN'S SID THAT PART OF N 100FT OF LOT 1 103013 INDIAN RIVER DR FT PIERCE FL 34957
(Parcel Id#/Legaldescription/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.
BRUCE MOORHEAD
Property Owner Name (Please Print)
Pr6perfyl5wner Signature
STATE OF FLORIDA, COUNTY OF MARTIN
SEPTEMBER 12, 2019
Date
ACKNOWLEDGED BEFORE ME THIS 12th DAY OF SEPTEMBER 2019
BY BRUCE MOORHEAD WHO IS PERSONALLY KNOWN TO ME (^EI OR WHO HAS
DRIVERS LIC.
COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
AS IDENTIFICATION.
GWYNETH ELLYN WOOD
TYPE OR PRINT NOTARY
(SEAL)
,��rrti Gwyneth Ellyn Wood
Notary Public, State of Flodda
;�., ' ` Commission No. FF 988516
P, My Comm. Exp. May 8, 2020
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