HomeMy WebLinkAboutFilled Land Affidavit -- rnPLANNING &DEVELOPMENT SERVICES DEPARTMENT
Building&Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553 MAR 2 8 2017
PERIMITTugG
FILLED LAND AFFIDAVIT St. Lucie Coun4r, FL
I, the undersigned, am the owner of the following described property,
310 - Y",Il s e Z)r . FoTA ?%eree �k , Y646
(Parcel Id#/Legal description7Address)
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 property which will not adversely affect the immediate
community.
'.ws r
Property Owner Name(Please Print
3 -
Property(jier Signature Date
STATE OF FLORIDA,COUNTY OF_�4 (7
ACKNOWLEDGED BEFORE ME THIS 2,7 DAY OF 20 ,
BY 1 l rSL�WHO IS PERSONALLY KNOWN TO ME C_)OR WHO HAS
PRODUCED \ AS IDENTIFICATION.
SIGNATURE OF�N( T 'PUBLIC TYPE OR RINT NOTARY
-E:F- i�p37/ COMMISSION NUMBER
KAREN S. yIELSE*AL
.` •RY OVB�c
== Commission;I FF 11 5 37
.'
Q- My Commission Expires
June 12, 2018
SLCPDSD Revised 04/11/2011