HomeMy WebLinkAboutInspection Docs .� .�,.. x PLANNING & DEVELOPMENT SERVICES DEPARTMENT
` r Building &Code Regulations Division
• - 2300 VIRGINIA AVENUE ^- *�' r S r.F E
FORT PIERCE,FL 34982-5652 ij��� it +
(772)462-1553
MAR0 20V
6.
FILLED LAND AFFIDAVIT PERMITTING
St. Lucie County, FL
I,the undersigned, am the owner of the following described property,
3�S a k N vd?Oe STLucie 1.,54125 i4vu Phiey cater 9 �rarzr"LOC k 8aWT3
(Parcel Id#/Legal description/Address) - 5419—g-7b 0 a3,CU)„S
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number 1703 -0355', 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.
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Property Owner Name(Please Print'10 CA ��. )
- Iq�P
erty Owner SignatuIe klf Date i�
STATE OF FLORIDA,COUNTY OF f k—
ACLEDGE BEF�($E ME THIS DAY OF l 20__a,
BY--��� (��l� WHO IS PERSONALLY KNOWN TrO ME(��OR WHO HAS
PRODUCED t-[ f �fl �� �J v AS IDENTIFICATION.
V
S G TURE F NOTARY PUBLIC TYPE'011PRdf NOTARY
COMMISSION NUMBER MARGARET KENDALL
Notary Public,state S A�gnda
My Commission Ex�. an29�2019
`ltiary /
commission No.FF 18 6 [(/J
Personally Known[ or Produced ID
Type of ID Produced:
SLCPDSD Revised 04/11/2011