HomeMy WebLinkAboutFILLED LAND AFFIDAVITPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553
SCANNED FILLED LAND AFFIDAVIT
BY
St. Lucie County
I, the undersigned, am the owner of the following described property,
3321-803-0082-000-8, RESERVE PLANTATION -PHASE IIA- LOT 78 (MAP 33/28N) (OR
3608-1938), 10786 Grey Heron Court, Port Saint Lucie, FL 34986
(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 1603-0450 , 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.
D n�MiranaIr
Pr r
Owner Name (Please Print)
Pr y Owner Signature
STATE OF FLORIDA, COUNTY OF Saint Lucie
04/04/2016
Date
ACKNOWLEDGED BEFORE ME THIS 4th DAY OF April , 20 16
BY Don Miranda WHO IS PERSONALLY KNOWN TO ME (X ) OR WHO HAS
OF NOTARY
FF960833 COMMISSION NUMBER
SLCPDSD Revised 04/11/2011
AS IDENTIFICATION.
Kristina E. Davis
TYPE OR PRINT NOTARY
' KIA E DAVIS
"• MY COMMISSION 0 FF960833
EXPIRES Mwch 08, 2020
107 HH'63 rW&bNW 4W"