HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
�® FORT PIERCE, FL 34982-5652
SCANNED (772) 462-I553
RECEIVED
BY
St. Lucie County FILLED LAND AFFIDAVIT OCT 1 O'i)19
ST, Lucle County, Permitting
I, the undersigned, am the owner of the following described property,
404 NETTLES BLVD / 4502-501-0590-000-3
(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.
GAIL MARCELLA
Property Owner Name (Please Print
Property/Owner Sign• tune Date
STATE OF FLORIDA, COUNTY OF
ACKNOWLEDGED BEFORRE(MEpTHIS I ,^ I DAY OF " C-'\ 20�,
BY 9AULf 1 Tl� � n— L4 WHO IS PERSONALLY KNOWN TO ME OR O HAS
�� (�
PRODUCED �" j-\ �� Sk'S AS IDENTIFICATION.
COMMISSION NUMBER
(SEAL)
.ib Notary Pubfie SMe of Fluid3
s:- r CommlmO
'n GO 133 3
SLCPDSD Revised 04/110011 igryb Eupifay OM1612023