HomeMy WebLinkAboutFilled Land Affidavit s
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building &Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652 RECEIVED
(772)462-1553
MAR 0 2 2 q)?$
FILLED LAND AFFIDAVIT ST. Lucie County, Permittin
I,the undersigned, am the owner of the following described property,
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(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 1101-0051—, 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.
Property Owner Name(Please Print)
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7-420
Property Owner Signature Da e
STATE OF FLORIDA,COUNTY OF'S
ACKNOWLEDGED BEFORE ME THIS DAY OF C 20 1�
BY WHO IS PERSONALLY KNOWN TO ME(Q)OR WHO HAS
PRODUCED l- L AS IDENTIFICATION.
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SIGNATURE OF N ARY PUBLIC TYPE OR PRINT NOTARY
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COMMISSION NUMBER "�,•• 9EAWNA M' MYCOMMISSEXPIRES:DPublic Unde
Bonded'It\ruNotary
SLCPDSD Revised 04/11/2011