HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVE LOPMENT SERVICES DEPARTME NT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
rORT PIERCE, Fl, 34982-5652
(772) 462-1553
SCAWYEI)
8�1
St. Lucie Cnonr%,
FILLED -LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
3415-501-0021-004-4e 6375 S US
(Parcel IM/Legal desciiption/Address)
for which I have applied to St. Lucie County for a Final Development Permit. in
accepting this Final Development Permit, BP Number I tinfi-021 r, 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, J 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.
Flodda Power and Light Co.
Property Owner Name (Please Print)
A7 Z-�� 6 /1- 7�
'Z2o1,<—
PropeAy dw6cr Signature Dat6
STATE OF FLORIDA, COUNTY OF S@Nnt LIJrDP
ACKNOWLEDGED BEFORE ME THIS 2ZACI DAYOF Su'qr— 20-1-5—
BY I -A Q L C4 L Ltj WA) WHO IS PERSONALLY KNOWN TO ME Q!2-) OR WHO HAS
PROD AS IDENTIFICATION.
Samantha J. Saucler
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
(SEAT.)
At� Notaq ublic State of FfoiWa
SLCPD.9D Rwised 0411 U2011 Samantha,)Saucier
My CommIssloff EE 184875
Expires 0312912016