HomeMy WebLinkAboutInspection Docs PLANNING& DEVELOPMENT SERVICES DEPARTMENT - -
Building& Code Regulations Division
• 2300 VIRGINIA AVENUE RECEIVED���'��
FORT PIERCE,FL 34982-5652
(772)462-1553
AUG 3 0 2017
FILLED LAND AFFIDAVIT PERMITTING
St. Lucie County. FL
I,the undersigned, am the owner of the following described property,
(Parcel 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 O er N`ame(Please Print)
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Priopeltwner Si&
e Date
STATE OF FLORIDA,COUNTY OF ST.
ACKNOWLEDGED BEFORE ME THIS JO+I — DAY OF
BY WHO IS PERSONALLY KNOWN TO ME(Z OR WHO HAS
PRODUCED AS IDENTIFICATION.
r, 6a CYNT41A ?ig-K rc,le-
SIGNA UREryOF NOTARY PUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
(SEAL)
SLCPDSD Revised 04/11/2011
CYNTHIA BAKER
gMY COMMISSION#FF231810
a� EXPIRES:June 29,2019
''Appp;O" .