HomeMy WebLinkAboutFILLED LAND AFFIDAVITF
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 SC1
FILLED LAND AFFIDAVIT St �UcisCN�p
tI,
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#/Legaldescription/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 — 00(o7 , I acknowledge
that as owner of the above described property, and in accordance with Section
7.04.01(1-)), 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
3RD OCTOBER 19
ACKNOWLEDGED BEFORE METHIS DAY OF -'� 20
"`mod FRED THEYE, TREASURER f��t��I
BY WHO IS PERSONALLY KNOWN TO NIE'r`,•-� OR WHO HAS
PRODUCED A AS IDENTIFICATION.
SIGNATURE OF NG�ARY PUBLIC
(Q��l O(olb'&OMtBSSIONNUMBER
SLCPDSD Revised 04/11/2011
TYPE OR PRINTN TARY
(SEAL)
`,i�rp"e=90INotarykin.
Y A. SAUNIER
ic -State of Floridaon GG 061648xpires Jan 67, 2021
h National Notary Assn.