HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 SCANNED
BY
FILLED LAND AFFIDAVIT St. Lucie County
I, the undersigned, am the owner of the following described Property,
�402- I S' O _� 3 - neap - I Indtan Rl Es+�}es llrtii �i QLK 38
I-n+s 19 4nd Q p
(Parcel Id#/Legal description/Address) ?vi $ F_. M i 4Way 2d Ft A, rce Fr 3 `19Ff 2
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number Q , 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.
aal(PWase
Prope Owne Pr'
Property Owner Signature Date
STATE OF FLORIDA, COUNTY O A IVCf
ACKNOWLEDGED BEFORE ME THIS I�L DAY OF �fAR ubt / - .20 u
BY VOVIL( (?rQ;Q OdW�/�I /1 —WHO IS PERSONALLY KNOWN TO ME (EIOR WHO HAS
ocJ PRODUCED/OrLCCK.- Klrrc.✓efr5 k;Cer731e.. AS IDENTIFICATION.
SIa TUr4�!UBL—�n.NTNO ►� 1� nellc'
SI A O,f OTAR PUBLIC TYPE OR PRINT NOTARY
FF211�'COMMISSION NUMBER
(SEAL)
JENNIFER A. RINELLA
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Notary Public - Stale of Florida
SLCPDSD Revised 04/112011
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Commission # FF 210043
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My Comm. Expires May 10. 2019