HomeMy WebLinkAboutFilled Land AffidavitST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGM AVENUE
FORT PIERCE, fL.34982-5652
772-462-1553
3 W 10 " D1 11 ff" I W W I 1 *1 W
1, the,,Tdersigned, am the 0 of t4, f 11 described
(Tax 11D/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 property which
will not adversely affect the immediate community.
Property Owner Name Property Owner Signature Date
STATE OFFLORIDA, COUNTY OF!
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ACKNOWLEDGED BEFORE ME, �IS DAY OF 20L— I
k WE
AS MP14MCATION. A
SIGNATURE NOTARY TYPE OR PRINT 4 OF NOTARY
(SEAL)
NOTARY PUBLIC TITLE —COMMISSION NUMBER
ANGELA M HUFF
ANGELA
Notary Public - State of Florida
23
Commission # FF 234730
Expires
M y 019
My Comm, Expires May 27, ]2019
Bonded through National Notary Assn,