HomeMy WebLinkAboutFilled Land Affidavit ST. LUCIE COUNTY
BUILDING & ZONING
C C' 2300 VIRGINIA AVENUE
® FORT PIERCE,FL.34982-5652
o e 772-462-1553
. _ FII.LED LA1rTD�A►I�FIDA��7[T----- --- ------ - ---
I,the undersigned, am the oWner of the followmi de lbe property:
(Tax M/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
r
STATE OF FLORIDA,COUNTY OF t SAI 19
C_`
ACKN WLEDGED BEFO ME THIS DAY OF 20LL
BY � PERS Y KNOWN TO ME OR WHO HAS PRODUCED
A EN I7FICAM
tee.
14 U_
SIGNATURE OF OTARY TYPE OR PRWP NAME OF NOTARY
(SEAL)
NOTARY PUBLIC TITLE COMMISSION NUMBER
�-.� a ANGELA MUFF
ifuatlq public-State of Florida
„w:TaY P"e '�. Notary 34130
1.04 *o.M 27,2019
Commission�#FF 2
a fres MaY Assn.
�Q MY Comm.Exp
Off Bonded through National Notary
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