HomeMy WebLinkAboutFilled Land Affidavit i
f
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: Q_'C)<-
Part of 3414-501-1701-000/9 ; Section 26 , Towns hi°p 36s & Range 40E
(Tax ID/Legal description/Address)
i
.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 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.
'I
Matthew Lyle Wynne
Property Owner Name Property Owner Signature Date
STATE OF FLORIDA,COUNTY OF St . Lucie
e
ACKNOWLEDGED BEFORE METHTS ao DAY OF zi9 li:�, .20 ,6
BYMatthew Lyle Wynne WHOISPERSONALLYKNO NTOMEORVINOHASPROOUCLO
AS IDENTIFICATION.
L/f�2 o TH Y P7/JIJ X9,45,K[�
I
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
(S LA L)
NOTARY PUBLIC T17LE COMMISSION NUMBER
� I
PAY PueDOROTHY ANN BASKIN
Notary Public,'.State of Florida
• My Comm.Expires Oct 2,2016
r
°mac Commission#FF 015226
91E OF Fl°p, I
Bonded Through National Notary Assn.
u