HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division F RF�Frill
2300 FORT PIERCE, FL 34982-5652 FB 2
(772) 462-1553 'Oejrh/ `S?0JB
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FILLED LAND AFFIDAVIT sr <vice c0"�ey ear
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I, the undersigned, am the owner of the following described property, Unie CpUntil
kGIRnI.[oIS-0021-000 8. I-jjkw&d prrk luni aA.Bll N2,UT3
(Parcel
5105 Turn ot&
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number ( DL--b ffi 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.
Ri&ae( r- Boyib
Property Owner Nam (Please Print)
Property Owner Signature Date!
STATE OF FLORIDA, COUNTY OF S� Lade,
ACKNOWLEDGED BEFORE ME THIS 13-K DAY OF Y2 brU'&V" 20 I I
BY IVIIGI�QCI fJ�yWHO IS PERSONALLY KNOWN TOME OR WROUAS
PRODUCED I•.,
. W v�
SIGNATURE OF tPTARY PUBLIC
W OI-1 83 COMMISSION NUMBER
SLCPDSD Revised 04/112011
AS IDENTIFICATION.
ali- OL T Con we( (
TYPE OR PRINT NOTARY
+jPV"'�yy CHNIS),�ic `. CONWELL
Notuy Pu ie • to of Florida
Commission • GG 017839
=?� My Comm. Expires Avg 21, 2020
,�,'� °•• Bonded through NaOonall�laryAssn.