HomeMy WebLinkAboutFilled Land Affidavit Aug 31 1710:39p John Rodgers Concrete 772-465-3827 p.1
PLANNING&DEVELOPMENT SERVICES DEPARTMENT
Building& Code Regulations Division
_ 2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
I,the undersigned,am the wxner of the following described property,
(Parcel W/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
7.04.0l(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 2ozZ,
BYEajj�� i;e-&/ WHO IS PERSONALE KNOWN TO ME�OR WHOHAS
PRODUCED AS IDEI`TIFICATION.
4�� �1� -'�
OF 1, YPUBLICEORP TNOT '
COM]\USSION NUMBER
(SEAL)
��Sxfty4' Catherine Ann weinmaR
P"i r``dU ARY PUSUC
of rFc QS i ATEanm# -0a„OF:FLORIDA
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SLCPDSD Reviud 04!11/2011 e
� 34
�t�3 Exvires 8/23/2018