HomeMy WebLinkAboutFilled Land Affidavit PLANNING & DEVELOPMENT SERVICES DEPARTMENT
COUNTY Building& Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553 cNJ
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FILLED LAND AFFIDAVIT IN0I/ > �0
BY:............... .. ....
I,the unde igned, am the owner of the following described property,
(Parcel Id# egal 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.
a
Propr)9wner Name(Please Print)
�� 1 �.
Prop Signatwe Date
STATE OF FLORIDA,COUNTY OF
ACKNOWLEDGED BEFORE ME THIS a\ DAY OF 20�,
BY C, • A d'n \�q WHO IS PERSONALLY KNOWN TO ME OR WHO HAS
PRODUCED L L AS IDENTIFICATION.
Q9d•t%V�'a G eve.
SIGNATURE OF ARY PUBLIC TYPE OR PRINT NOTARY
�d�J�1fO COMMISSION NUMBERIVT., pEANNAMARIE GIVENS
MY COMMISSION#GG 022023
<? F(PIRmber 16,200
I± P.
•-�YFo,r Bonded 7hru Notary Public U^uentiriaers
SLC PDSD Revised 04/112011