HomeMy WebLinkAboutFilled Land Affidavit ST. LUCIE COUNTY
� BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE,FL.34982-5652
H_o e 772-462-1553
I,the undergned, am the owner of the!ftwing described pr�rty: `T
�
(Tax ID/Legal description/4 ldress)�
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 ME THIS � DAY OF 24—L
v
BY �' wHo IS PERSONALLY K V( TO ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
1
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
J (SEAL)
NOTARY PUBLIC 1TI1E eCOMNnSSIONNUAMER
7"I"t
REBEKAH HOYotary Public--State of FloridaCommission#FF 185918
y Comm.Expires Feb 17.,2019