HomeMy WebLinkAboutFilled Land Affidavit PLANNING &DEVELOPMENT SERVICES DEPARTMENT
Building& Code Regulations Division
• 2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I,the undersigned, am the owner of the following described property,
1 ---2x ),- 6 9- 0M-s-(D C)U U
(Parcel 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
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 roperty which will not adversely affect the immediate
community.
Po e a i
•1a • )7
ope r3 Si a Date
STATE OF FLORIDA,COUNTY OF_A
/
ACKNOWLEDGED BEFORE ME THIS /0 DAY OF
BY WHO IS PERSONALLY KNOWN TOME L—)OR WHO HAS
PRODUCED AS IDENTIFICATION.
SIGNATURE OF VTARY PUBLIC TYgE PRINT NOTARY
COMMISSION NUMBER
(SEAL)
SLCPDSD Revised 04/11/2011
AUDREY B.HUMPHREY
*_ MY COMMISSION#FF 174772
EXPIRES:March 6,2019
glge Bonded Thru Notary Public Underwriters
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