HomeMy WebLinkAboutFilled Land Affidavit ST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
772-462-1553
A�
FILLED LANDS AFFIDAVIT
1, the undersigned, am the owner of the following described property ��vq
Part of 3414-501-1701-000/9 ; Section 26 , Township 36s & Range 40E
(Tax 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 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 a equate d.ra.inage so that the
immediate community WILL NOT be adversely affected. 1 urther acknowledge that in
granting this permit for the development of this property, St. Lu ie COunty.is neither obliged
nor liable to provide for, or maintain 1'..n any form, adequate dr nage off my property which
will not adversely affect the immediate community.
Matthew Lyle Wynne `� J
Property Owner Name Pro ert+y OO weer. Signature Date
STATE OF FLORIDA,COUNTY OF S t _/ L U C i e
ACKNOWLEDGED BL-FORE METHS ` r
WDAY OF J� rn6e ,20_L_�r
BY Mat thew Lyle Wynne WHO TS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCCO
/] AS rDENT[FICATION.
Ww►'� �OY�OTKb /9'N� 1Jl�S,Cr.J
SIGNATURE OF N TARP TYPE OR PRINT NAME OF NOTARY
(SCAL)
NOTARY PUBLIC TITLE COMMISSION NUMBER
,•iPaVP�s, DOROTHY ANN BASKIN
�`�; Notary Public-State of Florida
•E My Comm.Expires Oct 2,2016
Commission#FF 015226
Bonded Through National IN
Assn.