HomeMy WebLinkAboutFilled Land Affidavit PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations.Division
• 2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652,
(M)462-1553
FILLED LAND AFFIDAVIT
I, the undersigned, am the owner of the following described property,
1311-500-0053-000-�9- 5'113 EAUE DR. (HOLIDAY PI )55
(Parcel ld#/Legal description/Address) LDT- 59,
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.
Property Owne/14arne(Please PrAin't)
Property wne
, ignaDate
STATE OF FLORIDA,COUNTY OF—
ACKqOWLEDGED BEFORE ME THIS DAY OF sw"6w '20
BY L CA(r Lb rris WHO IS PERSONALLY KNOWN TO ME C_)OR WHO HAS
PRODUCEDFWL- AS IDENTIFICATION.
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SIGNATURE OF NOTARY PUBLI& TYPE ORTRINT NOTARY
COMMISSION NUMBER
(SEAL)
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ALANAH LOPEZ
Notary Public e Florida
My -State
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8LCPDSD Revised 04/11/2011 State of Florida
M C
Y Comm.Expires Apr 28,2017
Commission
#
EE 8066 52
Commission#EE 866952