HomeMy WebLinkAboutFilled Land Affidavit PLANNING & DEVELOPMENT SERVICES DEPARTMENT
` Building &Code Regulations Division
2300 VIRGINIA AVENUE
111111,1111 FORT PIERCE,FL 34982-5652
(772)462-1553
R E C E I V L D MAY 0 5 2017 FILLED LAND AFFIDAVIT
I,the undersigned,
am the owner of the following described property, e�
+11
-- 6's—do%:3 r�,-/1 ?-07 F,��A�E«- F 5 4 L-07-19 L 2Z- It"M PA N,
(Parcel Id#/Legal description/Address) V 1J,T 7
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.
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Property�0 ame(Please Print)
W-,—'
P erty Owner Signa re Date
STATE OF FLORIDA,COUNTY OFy�• C''+Q
ACKNOWLEDGED BEFORE ME THIS 5" DAY OF A142o-1--7
BY J` �1 C)' Keel WHO IS PERSONALLY KNOWN TO ME L__)OR WHO HAS
PRODUCED 1;L. 0 r; 4&f% L�.eAre- AS IDENTIFICATION.
SIGNAT OF NOTARY PUBLIC TYPE OR PRI14T NOTARY
r-`^ y COMMISSION NUMBER
(SEAL)
OSEPH BECK
SLCPDSD Revised 04/11/2011 -
"- my COMMISSION#FF241794
EXPIRES June 27,2019
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