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,
(Parcel Id#/Legal description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In t
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
ell%
Property er Signature Date
STATE OF FLORIDA,COUNTY OF 494 Lt,C it
ACKNOWLEDGED BEFORE ME THIS z I DAY OF March 20 CP
BY M1 C-�1 ICI S WHO Is PERSONALLY KNOWN TO ME CX)OR WHO HAS
PRODUCED AS IDENTIFICATION.
SIGNATURE OF NOTARY PUBLIC TYPE OR PRINT NOTARY
2 Ll 2 O COMMISSION NUMBER
Notary Pu S io State of Fbrida
Evelinda Flores
My Commission FF 089788
For Expires 02/04/2018
SLCPDSD Revised 04/11/2011