HomeMy WebLinkAboutFilled Land Affidavit RECEIVED MAY 1410b
ST. LUCIE COUNTY
BUILDING & ZONING
„t
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
• 772-462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property:(v�Sg'sn�`• ��5�'\�.
#1306-111 -0001 -000.10, 6/7 34 19 all that IDAT"l-I Vi ng
(Tax ID/Legal description/Address) northeasterly of 1-95
for which I have applied to St. Lucie County for a Fin 1 Development Permit. In accepting
this Final Development Permit, BP Number , I acknowledge that as owner of
the above described property, and in accordance with S ction 7.04.01(D), St. Lucie County
Land Development Code, I shall be responsible for ass ring adequate drainage so that the
immediate community WILL NOT be adversely affe ed. 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, adequ to drainage off my property which
will not adversely affect the immediate communi
Matthew
Property Owner Name /roperty Owner Signature Date
STATE OF FLORIDA,COUNTY OF S t___L uCi e
ACKNOWLEDGED BEFORE ME THIS ! y DAY OF m 14- 20-4'
BY Matthew Lyle Wynne WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
��/�Q�t.Q`�^-� � a.�.�c,.., J�b y�oT•l�/ �Nr► lyl A S,e� �
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
(SEAL)
NOTARY PUBLIC TITLE COMMISSION NUMBER
,1 71„ DOROTHY ANN BASKIN
ar r•�'
;204 Notary Public-State of Florida
t ' •= R1y Cc:nm.Expires 0(;t2,2016
* '�; Commission >t FF 015226
E.on�ad Through Na'lonal Notary Assn.