HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
E C F �V E D (772) 462-1553 6L ANNED
BY
Jum 2 3 2016 FILLED LAND AFFIDAVIT St. Lucie Countv
PERMITTING
St. Lucie County, FL
I, the undersigned, am the owner of the following described property,
1425-606-0083-000-3 / 3100 N Al A, Fort Pierce, FL 34949
(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 11,901-OIW7 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.
Christy Bartolucci
Property Owner Name (Please Print)
(�—) .fin}c 0.wt�O.wt�; 6/6/2016
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF Palm Beach
ACKNOWLEDGEDBEFOREMETHIS 6th DAY OF June 2016
BY Christy Bartolucci WHO IS PERSONALLY KNOWN TO ME (X ) OR WHO HAS
PRODUCED
�L
COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
IDENTIFICATION.
Dylan Washburn
TYPE OR PRINT NOTARY
OEM
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