HomeMy WebLinkAboutFilled Land Affidavit 02/09/2017 15:33' #0385 P. 002/002
PLANNING&DEVELOPMENT SERVICES DEPARTMENT
Building&Code Regulations Division
2300 ViRQINIA AVENU1:
FORT PIERCE,FL 34982-5652
(772)462-1553
FILLED LAM AFFIDAVIT
I,the undersigned, am the owner of the following described property,
- 331 — 040:2-0047/
(Parcel IMILegal 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
adequate drainage s0 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 t0 provide for, or maintain in any form,
adequate drainage off my property which will not adversely affect the immediate
community.
Property Owner me lease Print)
Z19
Pro erty er Sigpature Da
STATE OF FLORIAA,COUNTY OP
ACWOWLEDGED BEFORE ME THIS DAY OF � Q'r /.20�
BY th��'14,W ►'`1 N7`�' WHO IS PERSONA T.(KNOWN TO NM C i/)OR WHO HMO
PRODUCM _ AS IDENTIFICATION.
C� u_a. del C
VA) i A
SIGNATURE OF NOTARY PUBLIC TYPE OR,PRINT NOTARY
0 3)210 COMMISSIONNUMBER
(SEAL)
SLCPI)SARovi9C4G4/11/2011 "'° CYNTI-IIABAYER
MY CON&ESSION N FF231910
^�� FXFM3S;Jmm 29,2019