HomeMy WebLinkAboutFILLED LAND AFFIDAVIT•,k
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
FILLED LAND AFFIDAVIT
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I, the undersigned, am the owner of the following described property,
4425-701-0031-00015 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 — 01*7 , 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
STATE OF FLORIDA, COUNTY OF ST LUCIE
ACKNOWLEDGED BEFORE ME THIS 3RD
BY FRED THEYE, TREASURER
r Lc�j Oro 1(.A60' MMISSION NUMBER
SLCPDSD Revised 04/11/2011
_DAY OF OCTOBER _ 2019
WHO IS PERSONALLY KNOWN TO tifElD 61 WHO HAS
AS n)ENTIFICATION.
TYPE OR PRINTN TARY
(SEAL)
:'sy pie(" SHIRLEY A. SAUNIER
• ��.; Notary Public at of Florida
; ° Commission # GG 061646
tdy Comm. Expires Jan 37, 2027
'%°����'•• Bonded through National Notary Assn.
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