HomeMy WebLinkAboutFilled Land Affidavit NOV 0
ST. LUCRE COUNTY � PERMUTTING
BUILDING & ZONING
Sc. Luiz COUnfy, FL
2300 VIRGINIA AVENUE
PORT PIERCE,FL 34982-5652
772-462-1553
FILLED-LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property�� N-'� \\%')q
Part of 3414-501-1701-000/9 ; Section ction 26 , Townshzp 36s & }?ante 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.wi th.Section 7.04.01(D), St. Lucie County
Land Development Code, I sball 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
»or liable to provide for, or maintain in any form, adequate drainage off my property which
will not adversely affect the immediate community.
Matthew Lyle Wynne \ _Avo
Property Owner Name Property Owner Signature Date
STATE OF FLORIDA,COUNTY OF St . Lucie
ACKNOWLEDGED BEFORE ME THIS C;� DAY OF 0-ap
BY Matthew Lyle Wynne WHO IS PERSONALLY KNOWN TOME OR V+}{O HAS PRODUCED
AS IDENTIFICATION.
1-l- r'rr
SIGNATURE OF NOTARY TYPE OR PR21NT NAME OF NOTARY
NOTARY PUBLIC —TITLE
�� / `a�JCOMMTSSTON NUMBER (SEAL)
g.,pRY Notary Public State of Florida
Kerri Budka
Q My Commission FF 978543
OFpo� Expires 05/2512020 '