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 SCq
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049
I, the undersigned, am the owner of the following described property, C�4hy
4425-701-0031-000/5 TRACT G-1, PALMETTO VILLAGE @ HARBOUR RIDGE
(Parcel Id#/Legal description/AddresO
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number / f /0 — OOl77 , 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
Prog er Na a (Pleas/�
10/3/2019
Piapert� • wirer S 3nue Date , i4 �t+w� `—
STATE OF FLORIDA, COUNTY OF_ST LUCI E
3RD
ACKNOWLEDGED BEFORE ME OCTOBER DAY OF , 20 19
4)
FRED THEYE, TREASURER' -
BY ..� WHO IS PERSONALLY KNOWN TO ME❑✓(�OR WHO HAS
PR¢pUCED A _ 4" AS IDENTIFICATION.
(ac %16 A&OMIvnSSION NUMBER
TYPEORPRINTN TARY
(SEAL)
SLCPDSD Revised 04/I12011 SHIRLEY A. SAUNTER
",;PAY PV9 ��i
Notary Public -State of Florida
_ Commission # GG 061648
My Gomm. Expires Jan 31. 2021
Bonded through National Notary Assn.