HomeMy WebLinkAboutFilled Land Affidavit I
;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 owner of the following described property,
(Parcel Id#/Legal description/Address) J1'
I,
for which I have applied to St. Lucie County for a Final Development Permit. In
11
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,,ibe 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 ;af(ect the immediate
community.
/9Ps7��
Property.Owner am e lease Print)
Pre Owner Signature Date it
i
STATE OF FLORIDA,COUNTY OF I!
ACKN WLEDGED BEIME THIS DAY QF O I 20 1
it
BY N � �� OR WHO HAS
PRODUCEDIAS IDENTIFICATION.
A
-�, (D ULF
SIG URE OF O ARY PUBLIC TYPE OR PRINTNLoj
ARY
'i
COMMISSION NUMBER
ANGELA M HUFF
OtP OB
"'• a�'nt Notar
g Y?ublic-State of Florida
Commission#FF234730
lP OF F'OP�-' My ComRlj ExpireMf
SLCPDSD Revised 04/11/2011 ,2019
Bonded through National saY 27Notary Assn
i
j
"i
!
i