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
I, the undersigned, am the owner of the following described property,
3403-804-0037-000-21 Central White City S/D BIk3 Lots 9.10 and 11/ 5009 Lace Ave, Ft. Pierce, FL. 34982
(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.
Debra Fasnacht
Pr=se Print)
nun
Property Owner Signature
STATE OF FLORIDA, COUNTY OF .St. Lucie
1/18/2018
Date
ACKNOWLEDGED BEFORE ME THIS 18 DAY OFJanuary 2018
BY Debra Fasnacht WHO IS PERSONALLY KNOWN TO ME (Rb OR WHO HAS
PRODUCED
FF161648 COMMISSION NUMBER
SLCPDSD Revised 04111/2011
IDENTIFICATION.
Wendy G. Jernigan
I IV$ 9 *.>"a 9 R ItaAHl raaro
(SEAL)
y4y WENDY G JERNIGAN
,0 MY COMMISSION #FF161648
EXPIRES Septombar 21, 2018
iAeij (7H8-016a Flofjoi: IulBryeemice.CGrrr