HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VntGEITU AVENUE
FORT PIERCE, FL 34952-5652
(772) 462-1553
FILLED LAND AFFIDAVIT <1:46��2��
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I, the undersigned, am the owner of the following described property,
4425-701-0031-000/5 TRACT G-1, PALMETTO VILLAGE @ HARBOUR RIDGE
(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 / 9/0 — 00ia7 , 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.
FRED THEYE, TREASURER
Prop eri er N e (Pleas t
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Prop caner S gnattse 0
STATE OF FLORIDA, COUNTY OF ST LUCIE
r T ACKNOWLEDOED BEFORE ME THIS 3RD DAY OF OCTOBER r�q ,2U 19
a
BY FRED THEYE, TREASURER WHO IS PERSONALLY KNOWW� (0 OR WHO HAS
' PRODUCED A _ � AS IDENTIFICATION.
(aV1 ID'U l b "I60' , MISS1ON NUMBER
TYPEORPRINTN TARY
(SEAL)
SLCPDSD Revised,04/11/2011
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W"" SHIRLEY A. SAjFod
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Notary Public •SlatCommission n GMGamm. Expires JSontled lhreugn Nationa