HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34992-5652
(772)462-1553
FILLED LAND AFFIDAVIT I MAR 15 2019
ST. Lucie
I, the undersigned, am the owner of the following described property,
2308-133-0001-000-7, 100 CYCLONE DRIVE, FORT PIERCE, FL 34945
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 1103. 0113 , 1 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.
ORANGE AVENUE BAPTIST CHURCH, INC.
Property Owner Name (Please Print)
pen
c P 63 /z e 9�
Property Owner Signature Date �i� � 2�
LUCIE
STATE OF FLORIDA, COUNTY OF ST.
ACKNOWLEDGED&f. BEFORE ME THIS �` DAY OF 6 ,20
BY Zd.Rfi(IG6 2- 105Y WHO IS PERSONALLY KNOWN TO ME;AU) OR WHO HAS
PROD/ CED /AS IDENTIFICATION.
sl7 TURE OF 'T PUBLIC TY E OR PRINT No ARY
��yy7 I D10744& COMMISSION NUMBER
,ROGER A. PRIEST
Notary Public - SuFi o1 FRnitlm
Commission # GG',010740
M y Comm. Expires Nov7. 2020-
SLCPDSD Revised 04/11/2011