HomeMy WebLinkAboutFilled Land AffidavitST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGM AVENUE
FORT PIERCE, FL.34982-5652
772-462-1553
I KA101 IT -M, -W W
1, the undersigned, am the owner of the following described property:
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(Tax ID/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.
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Property Owner Name
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STATE OF FLORIDA, COUNTY OF
ACKNO GED BEFORE DAE THIS D Y OF
WI, IS
BY-... S PERSONALLY KNO UM OR WHO HAS PRODUCED
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SIGNATURE OF N ARY TYPE OR PRINT N�M OF NOTARY
NOTARY PUBLIC TITLE
ANGELA M HUFF
Notary Public State of Florida
Commission # FF 234730
My Comm. Expires May 27, 2019
�QoFif4stwNoo�\' Bonded through National Notary Assn.
(SEAL)