HomeMy WebLinkAboutFilled Land Affidavit :. �_ �—t
ST. LUCIE COUNTY
- ' :_ = BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE,FL-34982-5652
o a 772-462-1553
-'--FILLED-- SAIFTIEDAV
I,the unders!gI ed, am the owner of the following described property:
to X_ Ate.
(Tax ID/Legal description/Address)v
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 OF FLORIDA,COUNTY OF
ACKNOWLEDGED BEFORE THIS_�� DAY OF 20J
O Is PERSONALLY IIN TO ME OR WHO HAS PRODUCED
u^ IDENTIFICATION.
I�� 'K/)Pe�a
SIGNATURE NOTARY TYPE OR PRINT OF NOTARY
_ (S
NOTARY PUBUC TITLE CO a l ER ANGELA M HUFF
Notary Public-State of Florida
p•; Commission#'FF 234730
=ror aa`c My Comm.Expires May 27,201
Bonded through National Notary Assn,
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