HomeMy WebLinkAboutFilled Land Affidavit RECEIVED OCT 112017
a 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 owner of the following described property,
aq 11;A<4 A t &12C T—F-. Pre'-11 1�—L gtgg/
(Parcel Id#/Legal description/Address)
for which.1 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.
Pro Owr Name(Please Print)
16 171-0
perry Own r Signature Date
STATE OF FLORIDA,COUNTY OF�
ACKNOWLEDGED BEFORE ME THIS DAY OF d G� 20
BY 1:j4&.r-v %%60jj%v,4d v%A-'r WHO IS PERSONALLY KNOWN TOME 0 OR WHO HAS
PRODUCED \. L— AS IDENTIFICATION.
�{S�I�GNATURE OiNO RYPUBLIC TYPE OR PRINT NOTARY
COMMISSION NUMBER
pEANNA MARIE GIVENS
to i• n G 022023
MY cOMtdIS�
f"s -December 16,2020
N EXPIRES public
BondedThruNotarl Underwriters
•',' Gii `
SLCPDSD Revised 04/11/2011